1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Physician Assistant
  6. NPI Profile

VICTORIA WATTIAUX PA-C
NPI 1780644179
Physician Assistant - Medical in Madison, WI

Active since March 28, 2006PECOS Enrolled
4122 EAST TOWNE BLVD, MADISON, WI 53704(608) 242-6865(608) 242-6848 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victoria Wattiaux Pa-c NPPES

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

VICTORIA WATTIAUX PA-C (NPI 1780644179) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (1006) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780644179
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVICTORIA WATTIAUXCredential: PA-C
Location Address4122 EAST TOWNE BLVDMadison, WI 53704
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 242-6865
Fax(608) 242-6848
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateMay 1, 2009
✔ NPI 1780644179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 1006
4122 EAST TOWNE BLVD, Madison, WI 53704
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Wattiaux 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.

Other Providers at the Same Location NPPES 3

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

TED KUBIAK PAC
Physician Assistant (Medical)
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6865
KIM M KANTOR MD
Pediatrics
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6855
WILLIAM F DAVIS MD
Internal Medicine
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6855

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 Victoria Wattiaux's NPI number?

The NPI number for Victoria Wattiaux is 1780644179. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Victoria Wattiaux located?

Victoria Wattiaux practices at 4122 East Towne Blvd, Madison, WI 53704. The listed phone number is (608) 242-6865.

What is Victoria Wattiaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Victoria Wattiaux enrolled in Medicare?

Yes. Victoria Wattiaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Wattiaux was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.