Individual provider Active NPI

Erik Dygulski, APN

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1124297031
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16125 Issued in TN
Practice address
1218 W Kilbourn Ave Ste 301
Milwaukee, WI 53233-1325
Phone
(414) 276-6000
Fax
(414) 276-1458
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 882-039 WI
Family Nurse Practitioner 363LF0000X 16125 TN Primary

Addresses

Primary practice location

1218 W Kilbourn Ave Ste 301
Milwaukee, WI 53233-1325

Mailing address

1218 W Kilbourn Ave Ste 301
Milwaukee, WI 53233-1325
Phone (414) 276-6000

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
I20171114000451 WI Practitioner - Nurse Practitioner 1254504129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Orthopaedic Group LTDGroup PAC ID 2769466036, 10 clinicians

Practice addresses (Care Compare)

1218 W Kilbourn Ave
Milwaukee, WI 53233-1330
Phone (414) 276-6000

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
882-039WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Orthopaedic Group LTD CurrentSince Jun 25, 2018 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Oct 1, 2017 Accepting new patients
Milwaukee Orthpaedic Group LTD Past Accepting new patients
Petty Orthopaedics PC Past Accepting new patients

Locations

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

10586 N Port Washington Rd
Mequon, WI 53092
Phone (262) 243-9100

1218 W Kilbourn Ave
Ste 301
Milwaukee, WI 53233
Phone (414) 276-6000

1218 W Kilbourn Ave
Milwaukee, WI 53233
Phone (414) 219-7343

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

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

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 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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1124297031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE STE 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331325",
            "telephone_number": "414-276-6000",
            "fax_number": "414-276-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE STE 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331325",
            "telephone_number": "414-276-6000",
            "fax_number": "414-276-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGULSKI",
        "first_name": "ERIK",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "882-039",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.