Individual provider Active NPI

Gail Buchberger, APNP

  • Family Nurse Practitioner
  • Oconomowoc, WI
National Provider Identifier
1023137866
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2349 Issued in WI
Practice address
985 Hickory Creek Dr
Oconomowoc, WI 53066-3585
Phone
(262) 391-6421
Fax
(262) 354-0627
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2349-033 WI
Family Nurse Practitioner 363LF0000X 2349 WI Primary

Addresses

Primary practice location

985 Hickory Creek Dr
Oconomowoc, WI 53066-3585

Mailing address

985 Hickory Creek Dr
Oconomowoc, WI 53066-3585
Phone (262) 391-6421

Other names 1

  • Gail Hettermann Former name

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
I20040316000382 WI Practitioner - Nurse Practitioner 9739079799 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2349-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison BH, LLC CurrentSince Jan 21, 2026 Accepting new patients
Take Care Health Wisconsin, S.C Family Past Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

5401 Quarry Park Rd
Madison, WI 53718
Phone 6086907111 ext. 109

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1023137866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 HICKORY CREEK DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663585",
            "telephone_number": "262-391-6421",
            "fax_number": "262-354-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 HICKORY CREEK DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663585",
            "telephone_number": "262-391-6421",
            "fax_number": "262-354-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHBERGER",
        "first_name": "GAIL",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2349-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "HETTERMANN",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.