Individual provider Active NPI

Stephanie Kelly Drew, FNP-C

  • Family Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1235408691
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12021-33 Issued in WI
Practice address
2727 N Mayfair Rd Ste I
Wauwatosa, WI 53222-4400
Phone
(414) 727-0910
Fax
(414) 727-0920
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011850 PA
Family Nurse Practitioner 363LF0000X R212599-6 MN
Registered Nurse 163W00000X RN585810 PA
Family Nurse Practitioner 363LF0000X 12021-33 WI Primary
Registered Nurse 163W00000X R212599-6 MN

Addresses

Primary practice location

2727 N Mayfair Rd Ste I
Wauwatosa, WI 53222-4400

Mailing address

2727 N Mayfair Rd Ste I
Wauwatosa, WI 53222-4400
Phone (414) 727-0910

Other practice location 1

2500 W Layton Ave
Milwaukee, WI 53221-5420
Phone (414) 727-0910

Other names 1

  • Stephanie Kelly Gallagher, Brever Former name

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
I20220731000131 WI Practitioner - Nurse Practitioner 9133358625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
82.89
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R212599-6MNMDRegistered Nurse
RN585810PAMDRegistered Nurse
12021-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Spine and Pain SC CurrentSince Aug 1, 2022 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Aug 1, 2022 Accepting new patients
Alliance ENT and Hearing Center, SC Past Accepting new patients

Locations

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
#100
Appleton, WI 54913

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

1000 Gateway Ct
Ste 100
West Bend, WI 53095

Organizations & group practices 3

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1235408691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD STE I",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD STE I",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Layton Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532215420",
            "country_code": "US",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREW",
        "first_name": "STEPHANIE",
        "middle_name": "KELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R212599-6",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN585810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "12021-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R212599-6",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GALLAGHER, BREVER",
            "middle_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.