Individual provider Active NPI

Brittany L Schlicht, NP-C

  • Nurse Practitioner
  • Oconomowoc, WI
National Provider Identifier
1275170045
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9773 Issued in WI
Practice address
1284 N Summit Ave
Oconomowoc, WI 53066-4459
Phone
(262) 569-3080
NPI assigned
Nov 29, 2019
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9773 WI Primary
Family Nurse Practitioner 363LF0000X 9773-33 WI

Addresses

Primary practice location

1284 N Summit Ave
Oconomowoc, WI 53066-4459

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

5233 S 27th St
Greenfield, WI 53221-3764
Phone (414) 727-5850

Other practice location 2

2130 Big Bend Rd
Waukesha, WI 53189-7624
Phone (262) 513-7555

Other practice location 3

2501 W Silver Spring Dr
Glendale, WI 53209-4217
Phone (414) 461-9250

Other identifiers 1

IdentifierTypeStateIssuer
100095861MedicaidWI

Other names 1

  • Brittany L Eickhorst Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address bschlicht145303@direct.myadvocateaurora.org Direct

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
I20200121000408 WI Practitioner - Nurse Practitioner 6305271339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1284 N Summit Ave
Oconomowoc, WI 53066-4459
Phone (262) 569-3080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9773WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2501 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 461-8250

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5233 S 27th St
Milwaukee, WI 53221
Phone (414) 270-4444

1284 N Summit Ave
Summit, WI 53066
Phone (262) 560-3700

Interoperability endpoints

  • Direct secure messaging: bschlicht145303@direct.myadvocateaurora.org

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": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1275170045",
    "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",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 N SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664459",
            "telephone_number": "262-569-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532213764",
            "country_code": "US",
            "telephone_number": "414-727-5850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531897624",
            "country_code": "US",
            "telephone_number": "262-513-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532094217",
            "country_code": "US",
            "telephone_number": "414-461-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLICHT",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9773",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9773-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095861",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1284 N Summit Ave",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bschlicht145303@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1284 N Summit Ave",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "EICKHORST",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.