Sennait Andu, FNP
Individual provider Active NPI Family Nurse Practitioner · Greenfield, WI
NPI 1124744883 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1124744883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11989-33 (WI)
- Practice address
- 5800 W Layton Ave
Greenfield, WI 53220-4021 - Phone
- (262) 532-3067
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230606001554 | WI | Practitioner - Nurse Practitioner | 3779940812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11989-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11989 | WI | |
| Family Nurse Practitioner | 363LF0000X | 11989-33 | WI | Yes |
Addresses
Primary practice location
5800 W Layton Ave
Greenfield, WI 53220-4021
Mailing address
5800 W Layton Ave
Greenfield, WI 53220-4021
Phone (262) 532-3067
Other providers in Greenfield, WI
- Erin T Amiot
- Amy Lopez Counseling Services LLC
- Kelly E Anderson
- Cindy L Anderton
- Andrea Kremer Therapy, LLC
- Anni Cox Counseling Services, LLC
- Marco Araujo
- Jaclyn Aremka
- David H Arendt
- Tiffany Arney
All providers in Greenfield, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.