Individual provider Active NPI

Brenda Ann Bartels, GERIATRIC NP PRESCRI

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1124199955
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1016033 Issued in WI
Practice address
10701 W Research Dr
Milwaukee, WI 53226-3452
Phone
(866) 480-9927
Fax
(414) 443-4818
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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 1016033 WI Primary

Addresses

Primary practice location

10701 W Research Dr
Milwaukee, WI 53226-3452

Mailing address

10701 W Research Dr
Milwaukee, WI 53226-3452
Phone (866) 480-9927

Other identifiers 1

IdentifierTypeStateIssuer
43939700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016WIMDPhysician Assistant
1016033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman Geriatric Services SC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1124199955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "866-480-9927",
            "fax_number": "414-443-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "866-480-9927",
            "fax_number": "414-443-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "GERIATRIC NP PRESCRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1016033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43939700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.