Katherine Elizabeth Andrew, APNP

Individual provider Active NPI Primary Care Nurse Practitioner · Waukesha, WI

NPI 1225757842 · NPPES record last updated Feb 7, 2023

Key facts

NPI
1225757842
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
13094-33 (WI)
Practice address
N20W22961 Watertown Rd
Waukesha, WI 53186-1306
Phone
(262) 875-5070
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Medical SC (118 clinicians)

Practice addresses (Care Compare)

1451 Cleveland Ave
Waukesha, WI 53186-3876
Phone (262) 547-2123

Hospital & facility affiliations

  • Commonheart Home Health Home health agency · Waukesha, WI · CCN 527151
  • Watertown Memorial Hospital Hospital · Watertown, WI · CCN 520116
  • Marquardt Memorial Manor Nursing home · Watertown, WI · CCN 525543

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220916002746 WI Practitioner - Nurse Practitioner 4880079433 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC Current
since Oct 1, 2022
Accepting new patients
Oak Medical SC Current
since Oct 1, 2022
Accepting new patients

Locations

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

1451 Cleveland Ave
Waukesha, WI 53186
Phone (262) 547-2123

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 13094-33 WI Yes

Addresses

Primary practice location

N20W22961 Watertown Rd
Waukesha, WI 53186-1306

Mailing address

N20W22961 Watertown Rd
Waukesha, WI 53186-1306
Phone (262) 875-5070

Other names

  • Katherine Elizabeth Fuller Former name

Other providers in Waukesha, WI

All providers in Waukesha, WI · Primary Care Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.