Individual provider Active NPI

Kelly Ann Bruhn, CNM

  • Advanced Practice Midwife
  • Milwaukee, WI
National Provider Identifier
1144256553
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
148789-032 Issued in WI
Practice address
2555 N King Dr
Milwaukee Health Services Inc
Milwaukee, WI 53212-2709
Phone
(414) 372-8080
Fax
(414) 372-7425
NPI assigned
Jun 25, 2006
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 148789-032 WI Primary

Addresses

Primary practice location

2555 N King Dr
Milwaukee Health Services Inc
Milwaukee, WI 53212-2709

Mailing address

2555 N King Dr
Milwaukee Health Services Inc
Milwaukee, WI 53212-2709
Phone (414) 372-8080

Other identifiers 1

IdentifierTypeStateIssuer
41271400MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbruhn44526@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000423 WI Practitioner - Certified Nurse Midwife (CNM) 7315967619 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
148789-032WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Health Care Metro, Inc. Advanced Practice Midwife CurrentSince Jan 1, 2009 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Milwaukee Health Services Inc CurrentSince Jan 1, 2014 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Milwaukee Health Services, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Milwaukee Health Services, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Aurora Sinai Medical Center, Inc. Past Accepting new patients

Locations

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1020 N 12th St
#107
Milwaukee, WI 53233
Phone (414) 219-5800

2555 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 267-2022

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

Interoperability endpoints

  • Direct secure messaging: kbruhn44526@direct.myadvocateaurora.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1144256553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 N KING DR",
            "address_2": "MILWAUKEE HEALTH SERVICES INC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122709",
            "telephone_number": "414-372-8080",
            "fax_number": "414-372-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N KING DR",
            "address_2": "MILWAUKEE HEALTH SERVICES INC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122709",
            "telephone_number": "414-372-8080",
            "fax_number": "414-372-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "148789-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41271400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbruhn44526@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2555 N King Dr",
            "address_2": "Milwaukee Health Services Inc",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532122709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2555 N King Dr",
            "address_2": "Milwaukee Health Services Inc",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532122709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.