Active NPI
Martha T. Aregbesola, N.P.
- Nurse Practitioner
- Franklin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2997-033
- Practice address
- 10101 S 27TH St
Franklin, WI 53132-7209 - Phone
- (414) 325-4704
- NPI assigned
- Nov 6, 2006
- Last updated
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36020300 | Medicaid | WI | |
| 2997-033 | Other | WI | APNP |
| 148862 | Other | WI | RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2997 | WI | MD | Surgical Physician Assistant |
| 2997-033 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Nurse Practitioner | Current | Accepting new patients |
| Center for Neurological Disorders, SC | Current | 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
- https://fhir4.healow.com/fhir/r4/ADHAED/Endpoint/ADHAED
- 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.
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Nurse Practitioner
-
- Neurology Physician
- Milwaukee, WI
- NPI 1649223041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.