Individual provider Active NPI

Rebecca Wood

  • Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1144196635
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17112-33 Issued in WI
Practice address
1200 Delafield St
Waukesha, WI 53188-3430
Phone
(262) 297-7246
Fax
(888) 714-0578
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17112-33 WI Primary
Adult Health Nurse Practitioner 363LA2200X 17112-33 WI

Addresses

Primary practice location

1200 Delafield St
Waukesha, WI 53188-3430

Mailing address

2500 W Layton Ave Ste 240
Milwaukee, WI 53221-5432
Phone (262) 297-7246

Other practice location 1

4202 W Oakwood Park Ct Ste 110
Franklin, WI 53132-9565
Phone (262) 297-7246

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
I20260107002040 WI Practitioner - Nurse Practitioner 7315430600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Physicians of Wisconsin SCGroup PAC ID 9537596341, 28 clinicians

Practice addresses (Care Compare)

4202 W Oakwood Park CT
Franklin, WI 53132-9118
Phone (262) 297-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17112-33WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Physicians of Wisconsin, SC CurrentSince Dec 1, 2025 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

17495 W Capitol Dr
Ste L
Brookfield, WI 53045
Phone (262) 264-6610

4202 W Oakwood Park Ct
Ste 110
Franklin, WI 53132
Phone 26229772461310

4202 W Oakwood Park Ct
Franklin, WI 53132
Phone (414) 421-6002

10105 74th St
Ste 101
Kenosha, WI 53142
Phone (262) 697-5056

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

1200 Delafield St
Waukesha, WI 53188
Phone (262) 297-0724

Organizations & group practices 2

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1144196635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215432",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DELAFIELD ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883430",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 W Oakwood Park Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329565",
            "country_code": "US",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "17112-33",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "17112-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.