Individual provider Active NPI

Martha T. Aregbesola, N.P.

  • Nurse Practitioner
  • Franklin, WI
National Provider Identifier
1013096262
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2997-033 Issued in WI
Practice address
10101 S 27TH St
Franklin, WI 53132-7209
Phone
(414) 325-4704
NPI assigned
Nov 6, 2006
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2997-033 WI Primary

Addresses

Primary practice location

10101 S 27TH St
Franklin, WI 53132-7209

Mailing address

9969 S 27TH St
Franklin, WI 53132-9533
Phone (414) 325-4710

Other identifiers 3

IdentifierTypeStateIssuer
36020300MedicaidWI
2997-033OtherWIAPNP
148862OtherWIRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maregbesola1908@direct.ascension.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000466 WI Practitioner - Nurse Practitioner 2769586296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 N Mayfair Rd
Wauwatosa, WI 53226-4216

9969 S 27TH St
Franklin, WI 53132-9533
Phone (414) 325-4940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2997WIMDSurgical Physician Assistant
2997-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Apr 2, 2007 Accepting new patients
Center for Neurological Disorders, SC CurrentSince Mar 12, 2014 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

9969 S 27th St
Franklin, WI 53132
Phone (414) 325-2229

10750 W Howard Ave
Milwaukee, WI 53228
Phone (414) 239-6248

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADHAED/Endpoint/ADHAED
  • Direct secure messaging: maregbesola1908@direct.ascension.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1013096262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329533",
            "telephone_number": "414-325-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327209",
            "telephone_number": "414-325-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREGBESOLA",
        "first_name": "MARTHA",
        "middle_name": "T.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2997-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36020300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP",
            "identifier": "2997-033",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "148862",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maregbesola1908@direct.ascension.org",
            "affiliation": "N",
            "address_1": "9969 S 27th St",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531329533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.