Individual provider Active NPI

Galina Bakman, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1124359625
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
396133 Issued in WI
Practice address
125 S 84TH St FL 4
Milwaukee, WI 53214-1469
Phone
(262) 307-9136
Fax
(844) 542-1980
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 396133 WI Primary

Addresses

Primary practice location

125 S 84TH St FL 4
Milwaukee, WI 53214-1469

Mailing address

125 S 84TH St FL 4
Milwaukee, WI 53214-1469
Phone (262) 307-9136

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
I20250102001969 WI Order and Referring Only - Nurse Practitioner 4688709330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
396133WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1124359625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 84TH ST FL 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141469",
            "telephone_number": "262-307-9136",
            "fax_number": "414-270-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 84TH ST FL 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141469",
            "telephone_number": "262-307-9136",
            "fax_number": "844-542-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKMAN",
        "first_name": "GALINA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "396133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.