MADELINE SHANE EGGERT PA-C NPI 1861158065

NPI Information

  • NPI: 1861158065
  • Provider Name: MADELINE SHANE EGGERT, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 E GRANT ST
    APPLETON, WI
    ZIP 54911
  • Phone: (920) 831-5050

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NPI Details

Madeline Shane Eggert, PA-C is a surgical physician assistant in Appleton, WI with 4 years of experience. Madeline Shane Eggert, PA-C NPI is 1861158065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 E GRANT ST
APPLETON, WI
ZIP 54911-483
Phone: (920) 831-5050

The NPI 1861158065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2021 and was last updated on 3/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant5672WISCONSINNo
2363AS0400XPhysician AssistantSurgical5672WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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