Individual provider Active NPI

Carolyn J Metternich, APNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1023267184
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3494-033 Issued in WI
Practice address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone
(262) 334-5533
Fax
(262) 836-7301
NPI assigned
Sep 15, 2008
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 3494-033 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (262) 334-5533

Other identifiers 2

IdentifierTypeStateIssuer
100000979MedicaidWI
1023267184MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmetternich30283@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20081119000517 WI Practitioner - Nurse Practitioner 8729148820 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300

6609 W Greenfield Ave
West Allis, WI 53214-4958
Phone (414) 257-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3494-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Jul 5, 2024 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Jul 5, 2024 Accepting new patients
Episource LLC Nurse Practitioner CurrentSince Jun 20, 2020 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 5, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 5, 2024 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jan 1, 2016 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations (25 of 26)

500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

16985 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 641-8400

9200 W Loomis Rd
Franklin, WI 53132
Phone (414) 529-9200

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

215 Washington St
Grafton, WI 53024
Phone (262) 375-3700

1032 E Sumner St
Hartford, WI 53027
Phone (262) 670-4300

1640 E Sumner St
Hartford, WI 53027
Phone (262) 670-4000

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

6901 W Edgerton Ave
Milwaukee, WI 53220
Phone (414) 325-5244

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

1284 N Summit Ave
Summit, WI 53066
Phone (262) 560-3700

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

3289 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 771-7900

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

6609 W Greenfield Ave
West Allis, WI 53214
Phone (414) 257-8500

Interoperability endpoints

  • Direct secure messaging: cmetternichapnp125574@direct.froedtert.com

Organizations & group practices 11

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 2

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1023267184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "262-334-5533",
            "fax_number": "262-836-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "262-334-5533",
            "fax_number": "262-836-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTERNICH",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3494-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000979",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023267184",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmetternich30283@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "N120W13079 Freistadt Rd",
            "city": "Germantown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530222220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "N120W13079 Freistadt Rd",
            "city": "Germantown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530222220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.