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

Individual provider Anesthesiologist Assistant · NPI 1194596080

Derek Wiedmeyer, CAA is an Anesthesiology Assistant in Madison, Wisconsin. Graduated from University of Colorado School of Medicine, Aurora in 2023, 3 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
WI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 548-17 (WI)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1194596080
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJanuary 10, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2023 (3 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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