Individual provider Active NPI

Henrietta C Abili, DNP, APRN

  • Family Nurse Practitioner
  • Glendale, WI
National Provider Identifier
1174859524
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4045-33 Issued in WI
Practice address
2500 W Silver Spring Dr Ste B
Glendale, WI 53209-4218
Phone
(414) 628-5392
NPI assigned
Oct 20, 2009
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4045-33 WI
Family Nurse Practitioner 363LF0000X 4045-33 WI Primary
Primary Care Nurse Practitioner 363LP2300X 4045-33 WI

Addresses

Primary practice location

2500 W Silver Spring Dr Ste B
Glendale, WI 53209-4218

Mailing address

W131N6610 Crestwood Dr
Menomonee Falls, WI 53051-8316
Phone (414) 628-5392

Other identifiers 3

IdentifierTypeStateIssuer
1174859524MedicaidWI
149918-030OtherWISTATE LICENSE #
100013002MedicaidWI

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
I20110315000860 WI Practitioner - Nurse Practitioner 7012199870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

N112 W17975 Mequon Rd
Germantown, WI 53022-2425
Phone (262) 532-7600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 28, 2018 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Oct 1, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 28, 2018 Accepting new patients
Abili Health and Wellness LLC Past Accepting new patients

Locations

N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1271 N 6th St
Milwaukee, WI 53212
Phone (414) 978-9037

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

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.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1174859524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W131N6610 CRESTWOOD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518316",
            "telephone_number": "414-628-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SILVER SPRING DR STE B",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094218",
            "telephone_number": "414-628-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABILI",
        "first_name": "HENRIETTA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4045-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4045-33",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "4045-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174859524",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "149918-030",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013002",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.