MS. MANDY LYNN PORTER DOSTI M.S., PA-C
NPI 1417024910
Physician Assistant in Waukesha, WI

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
2315 E MORELAND BLVD, WAUKESHA, WI 53186(262) 532-5700 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2022, Dec 1, 2021 (2 updates tracked since 2021).

About Ms. Mandy Lynn Porter Dosti M.s., Pa-c NPPES

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

MS. MANDY LYNN PORTER DOSTI M.S., PA-C (NPI 1417024910) is an individual physician assistant in Waukesha, Wisconsin, licensed in Wisconsin (2050023) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417024910
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MANDY LYNN PORTER DOSTICredential: M.S., PA-C
Location Address2315 E MORELAND BLVDWaukesha, WI 53186-2939
Mailing Address2711 Preston CtWaukesha, WI 53188-4100 · (608) 236-4248
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1417024910 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 · 2050023
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.

2315 E MORELAND BLVD, Waukesha, WI 53186

Accepted Insurance

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

Ms. Mandy Lynn Porter Dosti M.s., 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 ID7719987106
PECOS Enrollment IDI20070109000338
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
12 services12 patients

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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 13

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

Internal Medicine
2315 E MORELAND BLVD, WESTBROOK PRIMARY CARE AND OB/GYN CLINIC
WAUKESHA, WI 53186
Nurse Practitioner (Family)
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC
WAUKESHA, WI 53186
Internal Medicine
2315 E MORELAND BLVD, WESTBROOK HEALTH CENTER
WAUKESHA, WI 53186
Nurse Practitioner
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Internal Medicine
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Pediatrics
2315 E MORELAND BLVD, WESTBROOK HEALTH CENTER
WAUKESHA, WI 53186
Internal Medicine
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Physician Assistant
2315 E MORELAND BLVD
WAUKESHA, WI 53186

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417024910, enumerated as an "individual" on November 29, 2006.

The provider is located at 2315 E MORELAND BLVD WAUKESHA, WI 53186 and the phone number is (262) 532-5700.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Network. Please consult your insurance carrier or call the provider to verify.

Mandy Porter Dosti is affiliated with: WAUKESHA MEMORIAL HOSPITAL and FROEDTERT MEMORIAL LUTHERAN HOSPITAL.