Active NPI
Colleen M Totero, NP
- Nurse Practitioner
- Kenosha, WI
National Provider Identifier
1366452005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1552
- Practice address
- 5923 Green Bay Rd
Kenosha, WI 53144-3737 - Phone
- (262) 652-0500
- Fax
- (262) 652-1928
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1552 | WI | Primary |
Addresses
Primary practice location
5923 Green Bay Rd
Kenosha, WI 53144-3737
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (262) 652-0500
Other practice location 1
3805A Spring St
Racine, WI 53405-1600
Phone (262) 687-8640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43931500 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctotero256247@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
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.29 of 100
- Quality
- 20.24
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 77.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1552 | WI | MD | Nurse Practitioner |
Interoperability endpoints
- ctotero256247@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1366452005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "262-652-0500",
"fax_number": "262-652-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531443737",
"telephone_number": "262-652-0500",
"fax_number": "262-652-1928"
}
],
"practiceLocations": [
{
"address_1": "3805A Spring St",
"address_purpose": "LOCATION",
"city": "Racine",
"state": "WI",
"postal_code": "534051600",
"country_code": "US",
"telephone_number": "262-687-8640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOTERO",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43931500",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctotero256247@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5923 Green Bay Rd",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531443737",
"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": "5923 Green Bay Rd",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531443737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.