Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Teagan Aubree Watkins-Mudge, PA

Individual provider Surgical Physician Assistant · NPI 1780331504

Miss. Teagan Aubree Watkins-Mudge, PA is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2021, 5 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
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

945 N 12th St
Milwaukee, WI 53233-1305
Phone: (414) 219-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Spring St, Mount Pleasant, WI 53405-1667 — (262) 687-4060

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5745-23 (WI)

Record details

NPI number1780331504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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