Individual provider Active NPI

Andrea Brooke Buxton, APRN

  • Family Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1275232142
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13663-33 Issued in WI
Practice address
2060 Bellevue St
Green Bay, WI 54311-5622
Phone
(920) 965-0606
Fax
(920) 965-0607
NPI assigned
Feb 28, 2023
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 13663-33 WI Primary
Hematology & Oncology Physician 207RH0003X 13663-33 WI

Addresses

Primary practice location

2060 Bellevue St
Green Bay, WI 54311-5622

Mailing address

2060 Bellevue St
Green Bay, WI 54311-5622
Phone (920) 965-0606

Other practice location 1

3550 Stewart Ave
Wausau, WI 54401-4919
Phone (920) 965-0606

Other identifiers 1

IdentifierTypeStateIssuer
13663-33OtherWISTATE LICENSE

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
I20230414001666 WI Practitioner - Nurse Practitioner 2961877444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemophilia Outreach of Wisconsin IncGroup PAC ID 6507948593, 4 clinicians

Practice addresses (Care Compare)

2060 Bellevue St
Green Bay, WI 54311-5622
Phone (920) 965-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13663-33WIMDFamily Nurse Practitioner

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, 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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1275232142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115622",
            "telephone_number": "920-965-0606",
            "fax_number": "920-965-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115622",
            "telephone_number": "920-965-0606",
            "fax_number": "920-965-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014919",
            "country_code": "US",
            "telephone_number": "920-965-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUXTON",
        "first_name": "ANDREA",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13663-33",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "13663-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13663-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.