Individual provider Active NPI

Hana O Upright, NP

  • Nurse Practitioner
  • East Troy, WI
National Provider Identifier
1083837413
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3077 Issued in WI
Practice address
2483 Corporate Cir
East Troy, WI 53120-2575
Phone
(262) 642-2000
Fax
(262) 642-2143
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 3077 WI Primary

Addresses

Primary practice location

2483 Corporate Cir
East Troy, WI 53120-2575

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (262) 642-2000

Other practice location 1

12601 W Hampton Ave
Suite 100A
Butler, WI 53007-1705
Phone (262) 373-1869

Other identifiers 2

IdentifierTypeStateIssuer
36030300MedicaidWI
2006005631-22OtherWIANCC CERTIFICATE

Other names 1

  • Hana O Assad Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hupright47624@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
I20070613000301 WI Practitioner - Nurse Practitioner 7113025263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2483 Corporate Cir
East Troy, WI 53120-2575
Phone (262) 642-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Quick Care, LLC Nurse Practitioner CurrentSince Mar 21, 2007 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 21, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 21, 2010 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

248 McHenry St
Burlington, WI 53105
Phone (262) 767-8000

12601 W Hampton Ave
Ste 100A
Butler, WI 53007
Phone (262) 373-1869

1415 Lawrence Dr
#1
De Pere, WI 54115
Phone (920) 339-4328

2483 Corporate Cir
East Troy, WI 53120
Phone (262) 249-2000

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

7550 22nd Ave
Kenosha, WI 53143
Phone (262) 658-2500

10932 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-0169

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

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

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

607 Tyler Ave
Omro, WI 54963
Phone (920) 685-7400

9201 Washington Ave
Racine, WI 53406
Phone (262) 504-5471

717 S Sylvania Ave
Sturtevant, WI 53177
Phone (262) 884-6868

915 Summit Ave
Summit, WI 53066
Phone (262) 569-2300

620 15th Ave
Union Grove, WI 53182
Phone (262) 878-1211

Interoperability endpoints

  • Direct secure messaging: hupright47624@direct.myadvocateaurora.org

Organizations & group practices 5

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 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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1083837413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "262-642-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 CORPORATE CIR",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531202575",
            "telephone_number": "262-642-2000",
            "fax_number": "262-642-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12601 W Hampton Ave",
            "address_2": "Suite 100A",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "WI",
            "postal_code": "530071705",
            "country_code": "US",
            "telephone_number": "262-373-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPRIGHT",
        "first_name": "HANA",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36030300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATE",
            "identifier": "2006005631-22",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hupright47624@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2483 Corporate Cir",
            "city": "East Troy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531202575",
            "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": "2483 Corporate Cir",
            "city": "East Troy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531202575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANA",
            "last_name": "ASSAD",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Troy, WI

Sources for this page

Verify at the official NPI Registry.