Individual provider Active NPI

Dana Beth Gruenenfelder, NP

  • Pediatric Nurse Practitioner
  • Middleton, WI
National Provider Identifier
1245909969
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11371-33 Issued in WI
Practice address
2275 Deming Way
Middleton, WI 53562-5527
Phone
(608) 915-0480
Fax
(608) 833-3227
NPI assigned
Sep 7, 2021
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11317 WI
Pediatric Nurse Practitioner 363LP0200X 11371-33 WI Primary

Addresses

Primary practice location

2275 Deming Way
Middleton, WI 53562-5527

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

731 Clay St
Darlington, WI 53530-1225
Phone (608) 776-2444

Other practice location 2

107 Center St
Argyle, WI 53504-9594
Phone (608) 543-3392

Other practice location 3

104 S Judgement St
Shullsburg, WI 53586-9549
Phone (608) 965-4475

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
I20211106000086 WI Practitioner - Nurse Practitioner 3173912458 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11317WIMDFamily Nurse Practitioner
11371-33WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 7, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 7, 2025 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2275 Deming Way
Ste 180
Middleton, WI 53562
Phone (608) 282-8200

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

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, 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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1245909969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625527",
            "telephone_number": "608-915-0480",
            "fax_number": "608-833-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Clay St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "WI",
            "postal_code": "535301225",
            "country_code": "US",
            "telephone_number": "608-776-2444",
            "fax_number": "608-776-2837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Center St",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "WI",
            "postal_code": "535049594",
            "country_code": "US",
            "telephone_number": "608-543-3392",
            "fax_number": "608-543-3393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Judgement St",
            "address_purpose": "LOCATION",
            "city": "Shullsburg",
            "state": "WI",
            "postal_code": "535869549",
            "country_code": "US",
            "telephone_number": "608-965-4475",
            "fax_number": "608-965-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUENENFELDER",
        "first_name": "DANA",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11317",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "11371-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.