IndividualActive
Jessica Roadt, PA-C
NPI 1295118487 · Physician Assistant · Milwaukee, WI
Provider details
- NPI number
- 1295118487
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 354423 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2901 W Kinnickinnic River Pkwy Ste 310
Milwaukee, WI 53215-3660
Phone: (414) 649-3990
Street-level locationGet directions
Mailing address
2901 W Kinnickinnic River Pkwy Ste 310
Milwaukee, WI 53215-3660
Additional practice locations (1)
- N15w28300 Golf RdPewaukee, WI 53072-4800Phone: (262) 544-5311Fax: (262) 544-6820
Registry dates
- Enumerated
- 2015-07-07
- Last updated
- 2022-07-21
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.