Individual provider Active NPI

Erin Ann Nemetz

  • Psychiatric/Mental Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1245091057
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16152 Issued in WI
Practice address
2717 N Grandview Blvd Ste 102
Waukesha, WI 53188-1672
Phone
(615) 322-4400
NPI assigned
Jan 18, 2024
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16152-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16152 WI Primary
Registered Nurse 163W00000X 249215 WI

Addresses

Primary practice location

2717 N Grandview Blvd Ste 102
Waukesha, WI 53188-1672

Mailing address

2717 N Grandview Blvd Ste 102
Waukesha, WI 53188-1672
Phone (877) 906-9699

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
I20241231002983 WI Practitioner - Nurse Practitioner 6709313877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCS of Wisconsin SCGroup PAC ID 7618232760, 18 clinicians

Practice addresses (Care Compare)

N45W22766 Charlotte Way
Pewaukee, WI 53072-2107
Phone (414) 716-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249215WIMDRegistered Nurse
16152WIMDPsychiatry Physician
16152-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Wisconsin S.C. CurrentSince Nov 26, 2024 Accepting new patients
University of Wisconsin System Non Payroll PastSince Jan 1, 2024 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1245091057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "877-906-9699",
            "fax_number": "888-483-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "615-322-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETZ",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16152-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16152",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "249215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.