Individual provider Active NPI

Brittney Anhalt, PA-C

  • Physician Assistant
  • Franklin, WI
National Provider Identifier
1295250322
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4171-023 Issued in WI
Practice address
4225 W Oakwood Park CT
Franklin, WI 53132-8131
Phone
(414) 435-0025
Fax
(414) 435-0026
NPI assigned
Aug 9, 2017
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4171-023 WI Primary

Addresses

Primary practice location

4225 W Oakwood Park CT
Franklin, WI 53132-8131

Mailing address

4225 W Oakwood Park CT
Franklin, WI 53132-8131
Phone (414) 435-0025

Other identifiers 1

IdentifierTypeStateIssuer
100072296MedicaidWI

Other names 1

  • Birttney Ohlrogge Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address bohlrogge226196@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
I20171031001529 WI Practitioner - Physician Assistant 2365718764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4171-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 1, 2019 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 1, 2019 Accepting new patients

Locations

4225 W Oakwood Park Ct
Franklin, WI 53132
Phone (414) 435-0025

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

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

Interoperability endpoints

  • Direct secure messaging: bohlrogge226196@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1295250322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W OAKWOOD PARK CT",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328131",
            "telephone_number": "414-435-0025",
            "fax_number": "414-435-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W OAKWOOD PARK CT",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328131",
            "telephone_number": "414-435-0025",
            "fax_number": "414-435-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "BRITTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4171-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072296",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4225 W Oakwood Park Ct",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bohlrogge226196@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4225 W Oakwood Park Ct",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BIRTTNEY",
            "last_name": "OHLROGGE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.