MORGAN NICOLE WASCHOW (PA) – Physician Assistant, NPI 1053177246

MORGAN NICOLE WASCHOW (PA) is a healthcare provider. based in Eagle, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MORGAN NICOLE WASCHOW (PA) is 1053177246

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MORGAN NICOLE WASCHOW (PA)
NPI
1053177246
Phone
(262) 470-7900
Address
S89W35211 EAGLE TER
Enumeration Date
26 February 2024
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154227750
Graduation Year
2024 (2 years ago)
PAC ID
1355878653
Group Practice PAC ID
4587658182
Professional Enrollment ID
I20241227001783
Address ID
WI544944714WI420XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MORGAN NICOLE WASCHOW (PA)

  • S89W35211 EAGLE TER

    EAGLE, WI 531192306

    Phone: (262) 470-7900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241227001783IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587658182View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MORGAN NICOLE WASCHOW (PA)?
MORGAN NICOLE WASCHOW (PA) — NPI 1053177246 — is the standard way to identify this listing.
Is MORGAN NICOLE WASCHOW (PA) listed as active for patients and plans?
The listing shows MORGAN NICOLE WASCHOW (PA) as active in the NPI system.
What is MORGAN NICOLE WASCHOW (PA)'s primary classification?
Physician Assistant is the headline specialty for MORGAN NICOLE WASCHOW (PA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MORGAN NICOLE WASCHOW (PA)?
MORGAN NICOLE WASCHOW (PA)'s geographic hint is Eagle, Wisconsin in our summary view.
Is the information about MORGAN NICOLE WASCHOW (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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