Individual provider Active NPI

Andrea Zabel, DNP

  • Family Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1295254969
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10736 Issued in WI
Practice address
1292 Capitol Dr
Pewaukee, WI 53072-2580
Phone
(262) 785-7700
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 127818 WI
Family Nurse Practitioner 363LF0000X 10736 WI Primary

Addresses

Primary practice location

1292 Capitol Dr
Pewaukee, WI 53072-2580

Mailing address

2740 Memory LN
Brookfield, WI 53045-3315
Phone (414) 202-9350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azabel92361@direct.ascension.org

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
I20210317002061 WI Practitioner - Nurse Practitioner 4486060464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127818WIMDHome Health Registered Nurse
10736WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1295254969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 MEMORY LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453315",
            "telephone_number": "414-202-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 CAPITOL DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722580",
            "telephone_number": "262-785-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABEL",
        "first_name": "ANDREA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "127818",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azabel92361@direct.ascension.org",
            "affiliation": "N",
            "address_1": "1292 Capitol Dr",
            "city": "Pewaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530722580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.