Individual provider Active NPI

Wendy Sue Ward, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1174340319
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16416-33 Issued in WI
Practice address
251 W Broadway Ste 202
Waukesha, WI 53186-4852
Phone
(262) 588-6774
Fax
(414) 296-8740
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16416-33 WI Primary

Addresses

Primary practice location

251 W Broadway Ste 202
Waukesha, WI 53186-4852

Mailing address

S23W23187 E Broadway
Waukesha, WI 53186-8118
Phone (262) 588-6774

Other practice location 1

S23W23187 E Broadway
Waukesha, WI 53186-8118
Phone (262) 588-6774

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
I20250514002757 WI Practitioner - Nurse Practitioner 4587182464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Grove Clinic SCGroup PAC ID 2264476688, 15 clinicians

Practice addresses (Care Compare)

10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone (414) 810-4844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16416-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic, SC CurrentSince May 5, 2025 Accepting new patients
Broadway Psychiatry LLC Psychiatric/Mental Health PastSince Sep 23, 2024 Accepting new patients

Locations

6416 S Howell Ave
Oak Creek, WI 53154
Phone (414) 304-5713

10012 W Capitol Dr
Ste 101
Wauwatosa, WI 53222
Phone (414) 810-4844

10012 W Capitol Dr
Wauwatosa, WI 53222
Phone (414) 810-4844

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.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1174340319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S23W23187 E BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868118",
            "telephone_number": "262-588-6774",
            "fax_number": "414-296-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W BROADWAY STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864852",
            "telephone_number": "262-588-6774",
            "fax_number": "414-296-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "S23W23187 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531868118",
            "country_code": "US",
            "telephone_number": "262-588-6774",
            "fax_number": "414-296-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16416-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.