Active NPI
Dylan G Washkuhn, NP
- Nurse Practitioner
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14053
- Practice address
- 6901 W Edgerton Ave
Greenfield, WI 53220-4420 - Phone
- (414) 325-5244
- Fax
- (414) 421-3772
- NPI assigned
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 253785 | WI | |
| Nurse Practitioner | 363L00000X | 14053 | WI | Primary |
Addresses
Primary practice location
6901 W Edgerton Ave
Greenfield, WI 53220-4420
Mailing address
417 Gannon CT
Tomah, WI 54660-6586
Phone (210) 860-8343
Other practice location 1
500 E Veterans St
Tomah, WI 54660-3105
Phone (608) 372-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100244322 | Medicaid | WI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520003625 | WI | Order and Referring Only - Nurse Practitioner | 2961863808 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Chicago, IL 60673
PO Box
Suite 735044
Chicago, IL 60673-5044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253785 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
6901 W Edgerton Ave
Milwaukee, WI 53220
Phone (414) 325-5244
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- dwashkuhn250293@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1174217467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 GANNON CT",
"city": "TOMAH",
"state": "WI",
"postal_code": "546606586",
"telephone_number": "210-860-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 W EDGERTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204420",
"telephone_number": "414-325-5244",
"fax_number": "414-421-3772"
}
],
"practiceLocations": [
{
"address_1": "500 E Veterans St",
"address_purpose": "LOCATION",
"city": "Tomah",
"state": "WI",
"postal_code": "546603105",
"country_code": "US",
"telephone_number": "608-372-3971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHKUHN",
"first_name": "DYLAN",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-08",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "253785",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "14053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100244322",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.