MADISON F HAMILTON PA
NPI 1851860258
Physician Assistant in Milwaukee, WI

Active since November 15, 2018PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215(414) 385-2301 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2021, Aug 22, 2019, Jan 11, 2019 and 1 more (4 updates tracked since 2018).

About Madison F Hamilton Pa NPPES

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

MADISON F HAMILTON PA (NPI 1851860258) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (4467-23) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1851860258
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON F HAMILTONCredential: PA
Location Address2801 W KINNICKINNIC RIVER PKWYMilwaukee, WI 53215-3669
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2018
Enumeration DateNovember 15, 2018
Last NPPES UpdateJanuary 28, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
NPI 1851860258 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 · 4467-23
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.
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Identifiers 1

Medicaid100084345WI

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

Madison F Hamilton Pa 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 ID1658617642
PECOS Enrollment IDI20190111002148
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 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.
75 services70 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215

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 Madison Hamilton's NPI number?

The NPI number for Madison Hamilton is 1851860258. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Madison Hamilton located?

Madison Hamilton practices at 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215. The listed phone number is (414) 385-2301.

What is Madison Hamilton's specialty?

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

Is Madison Hamilton enrolled in Medicare?

Yes. Madison Hamilton 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.

What insurance does Madison Hamilton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Madison Hamilton 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.

Is Madison Hamilton affiliated with any hospitals?

According to CMS data, Madison Hamilton is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Madison Hamilton was last updated on January 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.