Individual provider Active NPI

Erica M Landgraf, NP

  • Family Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1265093348
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8878 Issued in WI
Practice address
8585 W Forest Home Ave Ste 200
Greenfield, WI 53228-3467
Phone
(414) 529-8500
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8878 WI Primary

Addresses

Primary practice location

8585 W Forest Home Ave Ste 200
Greenfield, WI 53228-3467

Mailing address

8010 S Verdev Dr
Oak Creek, WI 53154-3040
Phone (414) 687-6904

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
I20191216002063 WI Practitioner - Nurse Practitioner 7113351628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma and Sinus Center SCGroup PAC ID 0941356679, 3 clinicians

Practice addresses (Care Compare)

8585 W Forest Home Ave
Suite 200
Greenfield, WI 53228-3467
Phone (414) 529-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8878WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Sinus Center, S.C. CurrentSince Jul 8, 2020 Accepting new patients

Locations

8585 W Forest Home Ave
Ste 200
Milwaukee, WI 53228
Phone (414) 529-8500

8585 W Forest Home Ave
Milwaukee, WI 53228
Phone (414) 427-5138

5439 Durand Ave
Ste 202
Mount Pleasant, WI 53406
Phone (262) 598-9205

Organizations & group practices 1

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1265093348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 S VERDEV DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543040",
            "telephone_number": "414-687-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 W FOREST HOME AVE STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283467",
            "telephone_number": "414-529-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGRAF",
        "first_name": "ERICA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.