Joan Marie Bennett, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8452-33 Issued in WI

Practice address

125 N Executive Dr Ste 100
Brookfield, WI 53005-6070

Phone

(262) 222-1012

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Badger Hospice, LLC

  • Community Based Hospice Care Agency
  • Brookfield, WI
  • NPI 1013453505
  NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1295373223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N EXECUTIVE DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056070",
            "telephone_number": "262-222-1012",
            "fax_number": "262-290-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N EXECUTIVE DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056070",
            "telephone_number": "262-222-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8452-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Behnke
• Bryan A Bell, O.D.
• Karlie Rose Bellante
• Amanda Lynn Belsha, LCSW
• Teresa N Beltran
• Carter M Benson, DDS
• Laurie Ellen Berendt, MS CCC/SLP
• Alexandria Berens, PTA
• Kimberly Ann Beres
• Jacqueline J Bergner, APNP

• Family Nurse Practitioner in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.