Individual provider Active NPI

Bronwyn L Dilley, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleton, WI
National Provider Identifier
1407809072
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1617-30 Issued in WI
Practice address
8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689
Phone
(262) 999-3495
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1617-30 WI Primary

Addresses

Primary practice location

8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689

Mailing address

8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689
Phone (262) 789-1191

Other practice location 1

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Other names 1

  • Bronwyn L Kruger Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060124000330 WI Practitioner - Nurse Practitioner 2860416369 Reassigns benefits to 10 organizations
I20220805002484 CA Practitioner - Nurse Practitioner 2860416369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

8215 Greenway Blvd
Suite 160
Middleton, WI 53562-3689
Phone (608) 236-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1617-30WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince May 9, 2022 Accepting new patients
MCHS Hospitals, Inc. CurrentSince May 9, 2022 Accepting new patients
Mellow Medical Inc a Professional Corporation CurrentSince Jul 22, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince May 9, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince May 9, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 9, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince May 9, 2022 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Aug 10, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Jun 1, 2014 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Flambeau Hospital Inc CurrentSince May 9, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince May 9, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Knueppel Healthcare Services, Inc. Past Accepting new patients

Locations

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (833) 427-3566

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

8215 Greenway Blvd
Ste 160
Middleton, WI 53562
Phone (608) 801-4741

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

220 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-8600

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.bronwyndilley@149809.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bdilley291048@direct.gundersenhealth.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: bronwyn.dilley@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1407809072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 160",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623689",
            "telephone_number": "262-789-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 160",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623689",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Friendship",
            "state": "WI",
            "postal_code": "539349699",
            "country_code": "US",
            "telephone_number": "608-339-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLEY",
        "first_name": "BRONWYN",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1617-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRONWYN",
            "last_name": "KRUGER",
            "middle_name": "L",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.