Active NPI
Duachy Vang, APNP
- Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7807
- Practice address
- 2555 N Martin Luther King Dr
Milwaukee, WI 53212 - Phone
- (414) 760-3900
- Fax
- (414) 464-6076
- NPI assigned
- Jul 20, 2017
- Last updated
- Dec 6, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 145653-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | 145653 | WI | |
| Nurse Practitioner | 363L00000X | 7807 | WI | Primary |
Addresses
Primary practice location
2555 N Martin Luther King Dr
Milwaukee, WI 53212
Mailing address
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone (414) 760-3900
Other practice location 1
946 N Van Buren St
Milwaukee, WI 53202
Phone (414) 276-4242
Other practice location 2
946 N Van Buren St
Milwaukee, WI 53202
Phone (414) 276-4242
Other practice location 3
8200 W Silver Spring Dr
Milwaukee, WI 53218-2552
Phone (414) 760-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145653-30 | Other | WI | RN LIC |
| 100070130 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvang242855@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14555 W National Ave
Suite 160
New Berlin, WI 53151-4497
Phone (262) 827-2975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145653-30 | WI | MD | Registered Nurse |
| 7807 | WI | MD | Nurse Practitioner |
| 145653 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Milwaukee Health Services Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Milwaukee Health Services, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2555 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 267-2022
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
8200 W Silver Spring Dr
Milwaukee, WI 53218
Phone (414) 760-3900
946 N Van Buren St
Milwaukee, WI 53202
Phone (414) 276-4242
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
14555 W National Ave
Ste 160
New Berlin, WI 53151
Phone (262) 827-2975
200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- dvang242855@direct.myadvocateaurora.org
- dvang679644@direct.ochin.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1518005818
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
dba Martin Luther King Heritage Health Center
- Case Management Agency
- Milwaukee, WI
- NPI 1346657442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1285157354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-760-3900",
"fax_number": "414-464-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53212",
"telephone_number": "414-760-3900",
"fax_number": "414-464-6076"
}
],
"practiceLocations": [
{
"address_1": "946 N Van Buren St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53202",
"country_code": "US",
"telephone_number": "414-276-4242",
"fax_number": "414-276-4877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "946 N Van Buren St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53202",
"country_code": "US",
"telephone_number": "414-276-4242",
"fax_number": "414-276-4877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8200 W Silver Spring Dr",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532182552",
"country_code": "US",
"telephone_number": "414-760-3900",
"fax_number": "414-464-6076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANG",
"first_name": "DUACHY",
"name_prefix": "Ms.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "145653-30",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "145653",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "7807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LIC",
"identifier": "145653-30",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100070130",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvang242855@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2555 N Martin Luther King Dr",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "53212",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2555 N Martin Luther King Dr",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "53212",
"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 Dec 6, 2021; 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.