NPIMap

Organization Active NPI

Aurora Advanced Healthcare, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1265629133
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AURORA ADVANCED HEALTHCARE, INC.
Practice address
3003 W Good Hope Rd
Milwaukee, WI 53209
Phone
(414) 352-3100
NPI assigned
Sep 25, 2007
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Nan Nelson
Title
Cfo
Phone
(414) 299-1610

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X WI
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X WI
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WI Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X WI
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X WI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X WI
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X WI
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X WI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X WI
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X WI
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X WI
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X WI

Addresses

Primary practice location

3003 W Good Hope Rd
Milwaukee, WI 53209

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080123000694 WI Part B Supplier - Clinic/Group Practice 3375625833 Receives reassigned benefits from 1,840 practitioners
Practice locations: Milwaukee, WI; Mount Pleasant, WI; New Berlin, WI; Port Washington, WI; Slinger, WI; Summit, WI; Waukesha, WI; Wauwatosa, WI…

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

National Provider Directory

National Provider Directory

Locations (25 of 36)

3003 W Good Hope Rd
Ste 100
Chicago, IL 60673

3289 N Mayfair Rd
Ste 1
Chicago, IL 60673

4202 W Oakwood Park Ct
Ste 310
Franklin, WI 53132
Phone (414) 855-2900

9200 W Loomis Rd
Ste 101
Franklin, WI 53132
Phone (414) 529-9300

3003 W Good Hope Rd
Ste 120
Glendale, WI 53209

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

975 Port Washington Rd
#110
Grafton, WI 53024
Phone (262) 329-8000

975 Port Washington Rd
#420
Grafton, WI 53024
Phone (262) 329-8600

975 Port Washington Rd
Ste 110
Grafton, WI 53024
Phone (262) 329-1000

975 Port Washington Rd
Ste 320
Grafton, WI 53024
Phone (262) 329-1000

975 Port Washington Rd
Ste 420
Grafton, WI 53024
Phone (262) 329-8622

4131 W Loomis Rd
Ste 220
Greenfield, WI 53221
Phone (414) 817-3680

1604 E Sumner St
Hartford, WI 53027

1640 E Sumner St
Ste 100
Hartford, WI 53027
Phone (262) 670-4210

10400 75th St
Ste 304
Kenosha, WI 53142
Phone (262) 948-7810

10725 N Executive Ct
Mequon, WI 53092
Phone (262) 329-4555

1055 N Mayfair Rd
Ste 1
Milwaukee, WI 53226

2015 E Newport Ave
Ste 301
Milwaukee, WI 53211

2424 S 90th St
#3
Milwaukee, WI 53227

2801 W Kinnickinnic River Pkwy
Ste 135
Milwaukee, WI 53215
Phone (414) 385-8600

2801 W Kinnickinnic River Pkwy
Ste 360
Milwaukee, WI 53215

2801 W Kinnickinnic River Pkwy
Ste 480
Milwaukee, WI 53215
Phone (414) 385-2317

2801 W Kinnickinnic River Pkwy
Ste 485
Milwaukee, WI 53215
Phone (414) 646-8900

2801 W Kinnickinnic River Pkwy
Ste 925
Milwaukee, WI 53215
Phone (414) 384-5111

2801 W Kinnickinnic River Pkwy
Ste 960
Milwaukee, WI 53215

Practitioners & affiliated clinicians

Practitioners 1,977

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,977

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1265629133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-352-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA ADVANCED HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd STE B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.