Michael Charles Goddeyne, PA-C
Physician Assistant · Milwaukee, WI
Michael Charles Goddeyne, PA-C is a physician assistant with a practice address in Milwaukee, Wisconsin, and NPI 1518539907, issued on Jul 14, 2021. Check the license (Wisconsin 5489, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael Charles Goddeyne
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 5489 WI
5489-23 WI
Self-reported in NPPES; status is on the state search - Practice location
- 2900 W Oklahoma Ave, Milwaukee, WI 53215
- Phone
- (414) 489-4190
- Enumerated
- Jul 14, 2021
- Record last updated
- Aug 12, 2024
- Medicaid ID
- 100177796 WI
- Medicare enrollment
- Enrolled (PECOS I20210823002199); accepts Medicare assignment
- Medical or professional school
- University Of Wisconsin School Of Medicine, 2021
- Entity
- Type 1 · individual
Also registered at 2900 W Oklahoma Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Michael Charles Goddeyne in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 5489Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $165.56
1 payment: food and beverage; the largest payer was Davol Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Milwaukee, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
821 physician assistant records list a practice address in Milwaukee
They are 821 of the 18,389 NPPES records with a practice address in Milwaukee, and 3,475 physician assistant records in Wisconsin.
All 821 in Milwaukee → All 3,475 in Wisconsin → Every provider in Milwaukee →
Other physician assistant records in Wisconsin
- Amber Abraham, PA-CGreen Bay, WI1598993297
- Roopa AchuriNeenah, WI1225531635
- Carleen Acker, PA-CMadison, WI1447514773
- Lauren Ackerman, PA-CCudahy, WI1992357982
- Jocelyn Acompanado, PA-CSheboygan, WI1770521486
- Kora Adam, PA-CBurlington, WI1952666554
- Stephanie Adamczyk, PAMilwaukee, WI1063007441
- Kristen Adamo, PANew Berlin, WI1437179520
- Beth Adams, PA-CMequon, WI1801237540
- Eric Adams, PAGreen Bay, WI1528445087
Common questions
What is Michael Charles Goddeyne, PA-C's NPI number?
Michael Charles Goddeyne, PA-C's National Provider Identifier (NPI) is 1518539907, issued on Jul 14, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Michael Charles Goddeyne, PA-C located?
The NPPES record lists a practice address at 2900 W Oklahoma Ave, Milwaukee, WI, 53215. Phone: (414) 489-4190. Providers update this record themselves, so call before visiting.
How can I verify Michael Charles Goddeyne, PA-C's license?
NPPES lists Wisconsin license number 5489, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.