Individual provider Active NPI

Annette Pientka

  • General Practice Registered Nurse
  • Madison, WI
National Provider Identifier
1366368649
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
107934 Issued in WI
Practice address
2501 W Beltline Hwy Ste 111
Madison, WI 53713-2321
Phone
(608) 240-0088
NPI assigned
Jun 29, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 107934 WI Primary

Addresses

Primary practice location

2501 W Beltline Hwy Ste 111
Madison, WI 53713-2321

Mailing address

2501 W Beltline Hwy Ste 111
Madison, WI 53713-2321
Phone (608) 240-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1366368649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132321",
            "telephone_number": "608-240-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132321",
            "telephone_number": "608-240-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENTKA",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "107934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.