GWENDOLYN TEAL GRIFFIN PA-C
NPI 1407425739
Physician Assistant in Milwaukee, WI

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
2885 N MAYFAIR RD, MILWAUKEE, WI 53222(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Dec 8, 2021, Oct 4, 2021 and 1 more (4 updates tracked since 2021).

About Gwendolyn Teal Griffin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN TEAL GRIFFIN PA-C (NPI 1407425739) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (5623) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407425739
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGWENDOLYN TEAL GRIFFINCredential: PA-C
Location Address2885 N MAYFAIR RDMilwaukee, WI 53222-4404
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838 · Fax (888) 919-1083
Fax(888) 919-1083
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1407425739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5623
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2885 N MAYFAIR RD, Milwaukee, WI 53222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn Teal Griffin Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012315674
PECOS Enrollment IDI20211012001651
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Nurse Practitioner
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Allergy & Immunology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Nurse Practitioner
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Otolaryngology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Audiologist
2885 N MAYFAIR RD
MILWAUKEE, WI 53222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Griffin's NPI number?

The NPI number for Gwendolyn Griffin is 1407425739. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Gwendolyn Griffin located?

Gwendolyn Griffin practices at 2885 N Mayfair Rd, Milwaukee, WI 53222. The listed phone number is (888) 938-3838.

What is Gwendolyn Griffin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gwendolyn Griffin enrolled in Medicare?

Yes. Gwendolyn Griffin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gwendolyn Griffin affiliated with any hospitals?

According to CMS data, Gwendolyn Griffin is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gwendolyn Griffin was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.