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
Hospital & facility affiliations 3
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
Practice addresses (Care Compare)
1451 Cleveland Ave
Waukesha, WI 53186-3876
Phone (262) 547-2123
Hospital & facility affiliations
- Commonheart Home Health
- Watertown Memorial Hospital
- Marquardt Memorial Manor
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220916002746 | WI | Practitioner - Nurse Practitioner | 4880079433 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Medical SC | Current |
Accepting new patients | |
| Oak Medical SC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other providers in Waukesha, WI
- Kaity Anderson
- Kathleen Marie Anderson
- Lisa Annette Anderson
- Molly Lyn Anderson
- Rachel Leman Anderson
- Susan A. Andrews
- Mary E Andruszkiewicz
- Kelly J Anello
- Anex, S.C.
- Jessica Angove
All providers in Waukesha, WI · Primary Care Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.