Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Andrew Edwin Stader

Individual provider Registered Dietitian · NPI 1639431935

Andrew Edwin Stader is a Physician Assistant in Platteville, Wisconsin. Qualified in 2017, 9 years ago. Practices with Southwest Health Center Inc, a 113-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1450 Eastside Rd
Platteville, WI 53818-9800
Phone: (608) 348-4330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Highland Ave, Madison, WI 53792 — (608) 662-0817
  • 1400 Eastside Rd, Platteville, WI 53818-9800 — (608) 348-2331

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4031-23 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 1035546 (WI)

Record details

NPI number1639431935
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESJuly 21, 2022
Certification dateNovember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southwest Health Center Inc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients43
Services billed 43 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Southwest Health Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 113 clinicians in the practice; 12 are shown here.

Other providers in Platteville