Active NPI
Erik Dygulski, APN
- Family Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1218 W Kilbourn Ave
Milwaukee, WI 53233-1330
Phone (414) 276-6000
Hospital & facility affiliations
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882-039 | WI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Orthopaedic Group LTD | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | 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.
-
- Specialist
- Milwaukee, WI
- NPI 1013071349
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Specialist
- Milwaukee, WI
- NPI 1447284799
-
- Orthopaedic Surgery Physician
- Lebanon, TN
- NPI 1184683179
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.