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MS. TIFFANY L FONTAINE PA-C
NPI 1639309057
Physician Assistant in Oconomowoc, WI

Active since July 20, 2009PECOS Enrolled
1185 CORPORATE CENTER DR STE 300, OCONOMOWOC, WI 53066(414) 771-6780(414) 238-2424 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Aug 10, 2016 (2 updates tracked since 2016).

About Ms. Tiffany L Fontaine Pa-c NPPES

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

MS. TIFFANY L FONTAINE PA-C (NPI 1639309057) is an individual physician assistant in Oconomowoc, Wisconsin, licensed in Wisconsin (2443-023) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639309057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. TIFFANY L FONTAINECredential: PA-C
Location Address1185 CORPORATE CENTER DR STE 300Oconomowoc, WI 53066-4887
Mailing Address10001 W Innovation Dr Ste 200Wauwatosa, WI 53226-4851 · (414) 771-6780 · Fax (414) 238-2424
Phone(414) 771-6780
Fax(414) 238-2424
Sole ProprietorNo
Enumeration DateJuly 20, 2009
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1639309057 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 · 2443-023
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.
1185 CORPORATE CENTER DR STE 300, Oconomowoc, WI 53066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tiffany L Fontaine Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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 2

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

KAREN MAURER PA-C
Physician Assistant
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066
Waukesha County (888) 938-3838
LAKE COUNTRY PRIVATE MEDICAL, S.C.
Internal Medicine
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066
Waukesha County (262) 567-5190

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 Tiffany Fontaine's NPI number?

The NPI number for Tiffany Fontaine is 1639309057. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Tiffany Fontaine located?

Tiffany Fontaine practices at 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 53066. The listed phone number is (414) 771-6780.

What is Tiffany Fontaine's specialty?

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

Is Tiffany Fontaine enrolled in Medicare?

Yes. Tiffany Fontaine is registered in the Medicare PECOS enrollment system.

What insurance does Tiffany Fontaine accept?

Health plans from UnitedHealthcare list Tiffany Fontaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Fontaine was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.