Active NPI
Abigail J Kleinschmidt, CPNP-PC
- Nurse Practitioner
- Greenfield, WI
National Provider Identifier
1184299851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9737
- Practice address
- 9000 W Sura LN
Greenfield, WI 53228-3477 - Phone
- (414) 246-6800
- NPI assigned
- May 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 9737 | WI | |
| Nurse Practitioner | 363L00000X | 9737 | WI | Primary |
Addresses
Primary practice location
9000 W Sura LN
Greenfield, WI 53228-3477
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice location 1
2524 E Webster Pl Ste 301
Milwaukee, WI 53211-4268
Phone (414) 272-7009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167859 | Medicaid | WI |
Other names 1
- Abigail Jo Cannariato
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acannariato30047@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9737 | WI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Shoreview Pediatrics, S.C. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
9000 W Sura Ln
Milwaukee, WI 53228
Phone (414) 246-6500
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
8905 W Lincoln Ave
Ste 409
West Allis, WI 53227
Phone (414) 328-8770
Interoperability endpoints
- acannariato30047@direct.myadvocateaurora.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71671
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1144433236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1184299851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W SURA LN",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532283477",
"telephone_number": "414-246-6800"
}
],
"practiceLocations": [
{
"address_1": "2524 E Webster Pl Ste 301",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532114268",
"country_code": "US",
"telephone_number": "414-272-7009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINSCHMIDT",
"first_name": "ABIGAIL",
"middle_name": "J",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "9737",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100167859",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acannariato30047@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9000 W Sura Ln",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532283477",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "9000 W Sura Ln",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532283477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "CANNARIATO",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.