Individual provider Active NPI

Emily Becker, APRN

  • Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1083065403
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7577 Issued in WI
Practice address
N16W23217 Stone Ridge Dr. Suite 270
Pewaukee, WI 53188-1171
Phone
(262) 796-0600
Fax
(262) 796-0700
NPI assigned
Jun 27, 2016
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 7577 WI Primary

Addresses

Primary practice location

N16W23217 Stone Ridge Dr. Suite 270
Pewaukee, WI 53188-1171

Mailing address

N16W23217 Stone Ridge Dr. Suite 270
Pewaukee, WI 53188-1171
Phone (262) 796-0600

Other names 1

  • Emily Boerneke 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
I20170803001833 WI Practitioner - Nurse Practitioner 1557653227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7577WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Hospice & Homecare Inc CurrentSince Feb 23, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Jul 13, 2017 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations

13255 W Bluemound Rd
Ste 103
Brookfield, WI 53005
Phone (262) 786-2875

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

N16W23217 Stone Ridge Dr
Ste 270
Waukesha, WI 53188
Phone (262) 796-0600

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1083065403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N16W23217 STONE RIDGE DR. SUITE 270",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "531881171",
            "telephone_number": "262-796-0600",
            "fax_number": "262-796-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N16W23217 STONE RIDGE DR. SUITE 270",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "531881171",
            "telephone_number": "262-796-0600",
            "fax_number": "262-796-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "EMILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BOERNEKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.