Individual provider Active NPI

Courtney K Haleen, NP

  • Adult Health Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1235026469
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1693933 Issued in WI
Practice address
5233 S 27TH St Ste 1
Greenfield, WI 53221-3764
Phone
(414) 727-5850
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1693933 WI
Adult Health Nurse Practitioner 363LA2200X 1693933 WI Primary

Addresses

Primary practice location

5233 S 27TH St Ste 1
Greenfield, WI 53221-3764

Mailing address

5233 S 27TH St Ste 1
Greenfield, WI 53221-3764
Phone (414) 727-5850

Other practice location 1

2501 W Silver Spring Dr
Glendale, WI 53209-4217
Phone (414) 461-9250

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
I20250820003145 WI Practitioner - Nurse Practitioner 5395245823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

5233 S 27TH St
Greenfield, WI 53221-3764
Phone (414) 727-5850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1693933WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Jul 1, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2501 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 461-8250

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

5233 S 27th St
Milwaukee, WI 53221
Phone (414) 270-4444

Interoperability endpoints

  • Direct secure messaging: courtney.haleen.1@18758.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1235026469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 S 27TH ST STE 1",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532213764",
            "telephone_number": "414-727-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 S 27TH ST STE 1",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532213764",
            "telephone_number": "414-727-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532094217",
            "country_code": "US",
            "telephone_number": "414-461-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEEN",
        "first_name": "COURTNEY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "1693933",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "1693933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.