Individual provider Active NPI

Christopher Dubois, FNP

  • Family Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1144942863
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13366-33 Issued in WI
Practice address
2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415
Phone
(414) 257-1772
NPI assigned
Sep 19, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13366-33 WI Primary
Registered Nurse 163W00000X 235038 WI

Addresses

Primary practice location

2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415

Mailing address

2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415
Phone (414) 257-2525

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
I20221216000387 WI Practitioner - Nurse Practitioner 8224407135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Bone and Joint S CGroup PAC ID 9234107749, 21 clinicians

Practice addresses (Care Compare)

2500 N Mayfair Rd
550 Mayfair Phys Therapy
Wauwatosa, WI 53226-1415
Phone (414) 257-2525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235038WIMDRegistered Nurse
13366-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 4, 2023 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. CurrentSince Dec 1, 2023 Accepting new patients
Wisconsin Bone & Joint S C CurrentSince Dec 15, 2022 Accepting new patients
Wisconsin Bone & Joint S C CurrentSince Dec 15, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 4, 2023 Accepting new patients

Locations

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

525 W River Woods Pkwy
Ste 130
Glendale, WI 53212
Phone (414) 961-0304

2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772

2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525

Interoperability endpoints

  • Direct secure messaging: cdubois135129@direct.ascension.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1144942863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261415",
            "telephone_number": "414-257-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261415",
            "telephone_number": "414-257-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13366-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "235038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.