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MEGAN BUBOLTZ PA-C
NPI 1679463905
Physician Assistant in Waukesha, WI

Active since July 08, 2025PECOS Enrolled
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186(262) 875-5070(866) 384-9486 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Apr 7, 2026, Jul 8, 2025 (3 updates tracked since 2025).

About Megan Buboltz Pa-c NPPES

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

MEGAN BUBOLTZ PA-C (NPI 1679463905) is an individual physician assistant in Waukesha, Wisconsin, licensed in Wisconsin (8478-23) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679463905
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN BUBOLTZCredential: PA-C
Location AddressN20W22961 WATERTOWN RDWaukesha, WI 53186-1308
Mailing AddressS24w36087 Countryside CtDousman, WI 53118-9688 · (262) 313-8602
Phone(262) 875-5070
Fax(866) 384-9486
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1679463905 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 · 8478-23
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.
N20W22961 WATERTOWN RD, Waukesha, WI 53186
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Buboltz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365910841
PECOS Enrollment IDI20260504004876
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 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 20

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

KATELYN RYMAN NP
Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-5070
SARA M PETERS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-4521
CHRISTINE ANN MALECHEK NP
Nurse Practitioner (Gerontology)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-4521
SARAH MCBRIDE AG-CNS
Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-5070
KATIE CRAWFORD APNP
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-5070
REBECCA JOY BLAND APNP
Nurse Practitioner (Acute Care)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-4521
SOPHIA SMITH NP
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 875-5070
AMANDA LEE BONK APRN
Nurse Practitioner (Gerontology)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Waukesha County (262) 290-5990

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 Megan Buboltz's NPI number?

The NPI number for Megan Buboltz is 1679463905. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Megan Buboltz located?

Megan Buboltz practices at N20w22961 Watertown Rd, Waukesha, WI 53186. The listed phone number is (262) 875-5070.

What is Megan Buboltz's specialty?

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

Is Megan Buboltz enrolled in Medicare?

Yes. Megan Buboltz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Megan Buboltz was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.