Individual provider Active NPI

Elizabeth Marie Dellemann, RN

  • Registered Nurse
  • Pewaukee, WI
National Provider Identifier
1184054074
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
183842-30 Issued in WI
Practice address
N40W23624 William Way
Pewaukee, WI 53072-1119
Phone
(414) 430-3580
NPI assigned
Nov 14, 2013
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 183842-30 WI Primary
Family Nurse Practitioner 363LF0000X 18062-33 WI

Addresses

Primary practice location

N40W23624 William Way
Pewaukee, WI 53072-1119

Mailing address

N40W23624 William Way
Pewaukee, WI 53072-1119
Phone (414) 430-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183842-30WIMDRegistered Nurse
18062-33WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1184054074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N40W23624 WILLIAM WAY",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721119",
            "telephone_number": "414-430-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N40W23624 WILLIAM WAY",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721119",
            "telephone_number": "414-430-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLEMANN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "183842-30",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "18062-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.