EMILY JEAN TRENTADUE (PA-C) – Physician Assistant, NPI 1942218102
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for EMILY JEAN TRENTADUE (PA-C)
500 W DREXEL AVE STE 300
OAK CREEK, WI 531542060
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Location
2885, North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53222, United States
WAUWATOSA, WI 532224404
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Mailing
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: 2020-04-15
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 |
|---|---|---|---|---|
| I20200415002012 | I | Physician Assistant | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 69 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 50 | 50 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 19 | 16 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 12 | 12 | $0 |
Insurance plans in this area (ZIP 53154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NC | |
| U R O L O G Y | IN | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Nurse Practitioner | IN | |
| P A T H O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| E N D O C R I N O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Orthopedic Surgery | MO |
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