Active NPI
Christopher Dubois, FNP
- Family Nurse Practitioner
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13366-33
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 235038 | WI | MD | Registered Nurse |
| 13366-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Orthopedic Surgeons of Wisconsin, S.C. | Current | Accepting new patients | |
| Wisconsin Bone & Joint S C | Current | Accepting new patients | |
| Wisconsin Bone & Joint S C | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1831102540
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1275127375
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1295769321
-
- Durable Medical Equipment & Medical Supplies
- Muskego, WI
- NPI 1962238113
-
dba Wisconsin Bone and Joint S C
- Orthopaedic Surgery Physician
- Glendale, WI
- NPI 1760013890
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
dba Orthopaedic Hospital of Wisconsin
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.