Individual provider Active NPI

Laura Brantman-Johnson, APRN

  • Nurse Practitioner
  • Burr Ridge, IL
National Provider Identifier
1417337247
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6463 Issued in WI
Practice address
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone
(312) 818-4650
Fax
(855) 618-2629
NPI assigned
Jun 6, 2015
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177434-30 WI
Nurse Practitioner 363L00000X 6463 WI Primary

Addresses

Primary practice location

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500

Other practice location 1

2514 S 102nd St Ste 160
West Allis, WI 53227-2142
Phone (414) 255-0300

Other practice location 2

721 American Ave
Suite 403
Waukesha, WI 53188-5071
Phone (262) 928-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI, FL, IL, OH, TX, PA, WA, VA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20150814013372 WI Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 2 organizations
I20250925000634 MI Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 1 organization
I20250929000719 FL Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 1 organization
I20250929003407 IL Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 1 organization
I20251001002058 OH Practitioner - Nurse Practitioner 9436464781
I20251001003943 TX Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 1 organization
I20251002004121 PA Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 1 organization
I20251003000986 WA Practitioner - Nurse Practitioner 9436464781
I20251104000486 VA Practitioner - Nurse Practitioner 9436464781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Brookfield, WI 53005
Phone (414) 255-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
177434-30WIMDRegistered Nurse
6463WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients
Iah of Texas, PLLC CurrentSince Sep 11, 2025 Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Iah of Michigan, PLLC CurrentSince Aug 17, 2025 Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Vpa PC Current Accepting new patients
Iah of Florida, LLC CurrentSince Aug 17, 2025 Accepting new patients
Iah of Wisconsin, PLLC CurrentSince Jan 3, 2023 Accepting new patients
Vpa PC CurrentSince Aug 17, 2025 Accepting new patients
Vpa PC CurrentSince Oct 7, 2025 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

293 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 490-3009

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629

13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300

2514 S 102nd St
Ste 160
West Allis, WI 53227
Phone (414) 255-0300

Interoperability endpoints

  • Direct secure messaging: laura.brantman-johnson.1@32913.direct.athenahealth.com

Organizations & group practices 12

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 6

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": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1417337247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "248-824-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650",
            "fax_number": "855-618-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2514 S 102nd St Ste 160",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272142",
            "country_code": "US",
            "telephone_number": "414-255-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 American Ave",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531885071",
            "country_code": "US",
            "telephone_number": "262-928-5972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTMAN-JOHNSON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177434-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.