Individual provider Active NPI

Elizabeth Haeger, NP-C

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1033469242
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4983-33 Issued in WI
Practice address
11400 W Lake Park Dr
Milwaukee, WI 53224-3035
Phone
(414) 588-2307
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 4983-33 WI Primary

Addresses

Primary practice location

11400 W Lake Park Dr
Milwaukee, WI 53224-3035

Mailing address

11400 W Lake Park Dr
Milwaukee, WI 53224-3035
Phone (414) 588-2307

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
I20140224000389 WI Practitioner - Nurse Practitioner 7719117548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Wisconsin IncGroup PAC ID 6204208754, 48 clinicians
CH Specialty Services Wi SCGroup PAC ID 9234504820, 14 clinicians

Practice addresses (Care Compare)

113 Cedar Ridge Dr
West Bend, WI 53095-3654
Phone (337) 991-9276

131 E N Water St
Neenah, WI 54956
Phone (337) 991-9276

Hospital & facility affiliations

  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4983-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jul 27, 2025 Accepting new patients
Horizon Home Care & Hospice Past Accepting new patients

Locations

11002 W Park Pl
Milwaukee, WI 53224
Phone (414) 365-8300

Organizations & group practices 4

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

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1033469242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 W LAKE PARK DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243035",
            "telephone_number": "414-588-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W LAKE PARK DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243035",
            "telephone_number": "414-588-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEGER",
        "first_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4983-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.