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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA J BRACKMAN P.A.
NPI 1952562761
Physician Assistant in Kenosha, WI

Active since June 24, 2008PECOS Enrolled
10400 75TH ST, KENOSHA, WI 53142(262) 697-7000(630) 734-1560 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Andrea J Brackman P.a. NPPES

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

ANDREA J BRACKMAN P.A. (NPI 1952562761) is an individual physician assistant in Kenosha, Wisconsin, licensed in Ohio (50.008269RX) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952562761
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA J BRACKMANCredential: P.A.
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address2549 N Lake Dr, Apt. 5Milwaukee, WI 53211-3816 · (414) 232-6878 · Fax (630) 734-1560
Phone(262) 697-7000
Fax(630) 734-1560
Sole ProprietorNo
Enumeration DateJune 24, 2008
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1952562761 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 OH · 50.008269RX
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.
10400 75TH ST, Kenosha, WI 53142
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Other Names 1

Former Name (1)Andrea J. Sirotak P.a.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea J Brackman P.a. 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 53142 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.

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Andrea Brackman's NPI number?

The NPI number for Andrea Brackman is 1952562761. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as Andrea J. Sirotak P.A..

Where is Andrea Brackman located?

Andrea Brackman practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 697-7000.

What is Andrea Brackman's specialty?

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

Is Andrea Brackman enrolled in Medicare?

Yes. Andrea Brackman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Brackman was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.