NPIMap

Individual provider Active NPI

Holly Ann Bartlein, NP

  • Family Nurse Practitioner
  • Sheboygan, WI
National Provider Identifier
1023857679
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15372-33 Issued in WI
Practice address
1411 North Taylor Dr.
Sheboygan, WI 53081
Phone
(920) 457-4858
NPI assigned
May 23, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15372-33 WI Primary

Addresses

Primary practice location

1411 North Taylor Dr.
Sheboygan, WI 53081

Mailing address

1637 Cheyenne Ave Unit D
Grafton, WI 53024-9309
Phone (920) 946-3246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbartlein447326@ewd.direct.hshs.org Direct St. Nicholas Hospital-Sisters of the Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626003641 WI Practitioner - Nurse Practitioner 1153865571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jun 1, 2024 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Family CurrentSince Jun 1, 2024 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jun 1, 2024 Accepting new patients
Prevea Clinic, Inc. CurrentSince Jun 1, 2024 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jun 1, 2024 Accepting new patients
Prevea Clinic, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

950 Woodlake Rd
Kohler, WI 53044
Phone (920) 783-3150

1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Organizations & group practices 7

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 7

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": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1023857679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 CHEYENNE AVE UNIT D",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249309",
            "telephone_number": "920-946-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NORTH TAYLOR DR.",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEIN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15372-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbartlein447326@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St. Nicholas Hospital-Sisters of the Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "950 Woodlake Rd",
            "city": "Kohler",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530441348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.