Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Brooke Fawcett, PA

Individual provider Physician Assistant · NPI 1508455247

Audrey Brooke Fawcett, PA is a Physician Assistant in New Berlin, Wisconsin. Qualified in 2020, 6 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
6
Licensed in
IN, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone: (262) 798-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7469-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 10003168A (IN)

Record details

NPI number1508455247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2021
Last updated in NPPESAugust 30, 2023
Certification dateSeptember 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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