ANDREW EDWIN STADER – Physician Assistant, NPI 1639431935
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for ANDREW EDWIN STADER
1400 EASTSIDE RD
PLATTEVILLE, WI 538189800
Phone: (608) 348-2331
Type: Mailing
1450 EASTSIDE RD
PLATTEVILLE, WI 538189800
Phone: (608) 348-4330
Type: Mailing
600 Highland Ave
MC 2433
Madison, WI 53792
Phone: (608) 662-0817
Fax: (608) 203-4544
Type: Location
1400 Eastside Rd
Platteville, WI 538189800
Phone: (608) 348-2331
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: 2017-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170731002912 | I | Physician Assistant | WI | TBD |
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.
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 53818)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Family Practice | WI | |
| Physical Therapist In Private Practice | IA | |
| Occupational Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | IA | |
| Physician Assistant | WI | |
| Cardiovascular Disease (Cardiology) | TX | |
| Family Practice | FL | |
| Pediatric Medicine | WI | |
| Qualified Speech Language Pathologist | WI |
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