Individual provider Active NPI

Eamen Geboy, APNP

  • Adult Health Nurse Practitioner
  • Mequon, WI
National Provider Identifier
1295463743
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13070 Issued in WI
Practice address
13133 N Port Washington Rd
Mequon, WI 53097-2419
Phone
(262) 243-5000
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13070 WI Primary
Nurse Practitioner 363L00000X 13070 WI
Family Nurse Practitioner 363LF0000X 13070 WI
Internal Medicine Physician 207R00000X 13070-33 WI

Addresses

Primary practice location

13133 N Port Washington Rd
Mequon, WI 53097-2419

Mailing address

788 N Jefferson Street
Suite 300/Attn. Kaaren Butzen
Milwaukee, WI 53202-3710
Phone (414) 272-8950

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
I20220921001160 WI Practitioner - Nurse Practitioner 4082099445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Affiliates IncGroup PAC ID 5991606337, 86 clinicians
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

13133 N Port Washington Rd
Suite G 18
Mequon, WI 53097-2420
Phone (262) 243-5000

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13070WIMDAddiction (Substance Use Disorder) Counselor
13070-33WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Affiliates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Prohealth Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Prohealth Medical Group Inc. Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc PastSince Sep 1, 2022 Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

13133 N Port Washington Rd
Ste G-18
Mequon, WI 53097
Phone (262) 243-5000

13133 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-5850

788 N Jefferson St
Ste 300ATTN
Milwaukee, WI 53202

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 4

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1295463743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 N JEFFERSON STREET",
            "address_2": "SUITE 300/ATTN. KAAREN BUTZEN",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023710",
            "telephone_number": "414-272-8950",
            "fax_number": "414-326-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "262-243-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBOY",
        "first_name": "EAMEN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "13070",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13070",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "13070-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.