Active NPI
Andrea Brooke Buxton, APRN
- Family Nurse Practitioner
- Green Bay, WI
National Provider Identifier
1275232142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13663-33
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13663-33 | Other | WI | STATE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13663-33 | WI | MD | Family 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.
-
dba Hemophilia Outreach Center
- Hematology (Internal Medicine) Physician
- Green Bay, WI
- NPI 1851390686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.