Individual provider Active NPI

Josie M Rukamp, APNP

  • Nurse Practitioner
  • Wales, WI
National Provider Identifier
1295257236
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7751 Issued in WI
Practice address
144 E Summit Ave
Wales, WI 53183-9546
Phone
(629) 686-1612
NPI assigned
Jul 12, 2017
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7751 WI Primary
Family Nurse Practitioner 363LF0000X 7751 WI

Addresses

Primary practice location

144 E Summit Ave
Wales, WI 53183-9546

Mailing address

144 E Summit Ave
Wales, WI 53183-9546
Phone (629) 686-1612

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrukamp207757@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
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
I20170816002193 WI Practitioner - Nurse Practitioner 3779855341 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 18, 2020 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Dec 18, 2020 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Dec 18, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 18, 2020 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Dec 18, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Jul 24, 2017 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 18, 2020 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

17000 W North Ave
Ste 104W
Brookfield, WI 53005
Phone (262) 395-4141

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

146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678

N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

144 E Summit Ave
Wales, WI 53183
Phone (262) 968-6160

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: jrukamp207757@direct.myadvocateaurora.org

Organizations & group practices 9

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1295257236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E SUMMIT AVE",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839546",
            "telephone_number": "629-686-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E SUMMIT AVE",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839546",
            "telephone_number": "629-686-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKAMP",
        "first_name": "JOSIE",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7751",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrukamp207757@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "144 E Summit Ave",
            "city": "Wales",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531839546",
            "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": "144 E Summit Ave",
            "city": "Wales",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531839546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wales, WI

Sources for this page

Verify at the official NPI Registry.