MICHAEL A PUGLISI (PA-C) – Physician Assistant, NPI 1376984229

MICHAEL A PUGLISI (PA-C) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3428-23 (WI). The NPI Number for MICHAEL A PUGLISI (PA-C) is 1376984229

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A PUGLISI (PA-C)
NPI
1376984229
Phone
(920) 996-3264
Address
122 E COLLEGE AVE
Enumeration Date
8 July 2013
Last Update Date
22 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
2961638689
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20141205000761
Address ID
WI549231243BE225XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

Provider Addresses for MICHAEL A PUGLISI (PA-C)

  • 122 E COLLEGE AVE

    APPLETON, WI 549115794

    Phone: (920) 996-3264

    Fax: (920) 830-5910

    Type: Mailing

  • 225 MEMORIAL DR STE 1100

    BERLIN, WI 549231243

    Phone: (920) 361-5535

    Fax: (920) 361-6337

    Type: Location

  • 752 N High Point Rd

    Madison, WI 537172236

    Phone: (608) 824-4000

    Fax: (608) 824-4910

    Type: Location

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: 2014-12-05

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
I20141205000761IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7269$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc2222$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 54911)

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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: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL A PUGLISI (PA-C)'s NPI?
Yes. MICHAEL A PUGLISI (PA-C) is listed with NPI 1376984229 in the public NPI dataset.
Can I rely on MICHAEL A PUGLISI (PA-C) being an active provider?
As of the registry snapshot, MICHAEL A PUGLISI (PA-C) is marked active.
What taxonomy line describes MICHAEL A PUGLISI (PA-C)?
For research purposes, treat MICHAEL A PUGLISI (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MICHAEL A PUGLISI (PA-C) based?
MICHAEL A PUGLISI (PA-C) is tied to Appleton, Wisconsin in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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