Individual provider Active NPI

Colleen M Totero, NP

  • Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1366452005
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1552 Issued in WI
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

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43931500MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
54.29 of 100Reported as group
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

LicenseStateTypeSpecialty
1552WIMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.