Individual provider Active NPI

Wende A Moline, APRN-BC

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1457351355
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
658-033 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone
(414) 649-1280
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26598 SC
Nurse Practitioner 363L00000X 658-033 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

8 Hospital Center Blvd Ste 130
Hilton Head, SC 29926-8701
Phone (843) 682-2800

Other practice location 2

9200 W Loomis Rd
Suite 101
Franklin, WI 53132-8887
Phone (414) 529-9300

Other identifiers 2

IdentifierTypeStateIssuer
P00989263OtherWIRR MEDICARE
41181400MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address wmoline15415@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040323001354 WI Practitioner - Nurse Practitioner 7719878263 Reassigns benefits to 2 organizations
I20221031002272 SC Practitioner - Nurse Practitioner 7719878263 Reassigns benefits to 3 organizations
I20260506001125 GA Practitioner - Nurse Practitioner 7719878263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8000

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658WIMDPhysician Assistant
658-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jan 27, 2011 Accepting new patients
Hampton Regional Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 27, 2011 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 18, 2011 Accepting new patients
Hampton Regional Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Southeastern Hospitalist Services PC Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 18, 2011 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jul 19, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jul 19, 2024 Accepting new patients
Hilton Head Heart PA Past Accepting new patients
Cardiovascular Associates of Wisconsin, LLP Past Accepting new patients
Hampton Regional Medical Center Past Accepting new patients

Locations (25 of 36)

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

8 Okatie Center Blvd S
Ste 101
Okatie, SC 29909
Phone (843) 705-9350

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

9200 W Loomis Rd
Ste 101
Franklin, WI 53132
Phone (414) 529-9300

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

6127 Green Bay Rd
Ste 600
Kenosha, WI 53142
Phone (262) 653-9221

1900 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5017 S 110th St
Milwaukee, WI 53228
Phone (414) 427-8282

Interoperability endpoints

  • Direct secure messaging: wende.moline.1@30548.direct.athenahealth.com
  • Direct secure messaging: wmoline15415@direct.myadvocateaurora.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1457351355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-649-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Hospital Center Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299268701",
            "country_code": "US",
            "telephone_number": "843-682-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Loomis Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328887",
            "country_code": "US",
            "telephone_number": "414-529-9300",
            "fax_number": "414-529-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "WENDE",
        "middle_name": "A",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26598",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "658-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00989263",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41181400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9200 W Loomis Rd",
            "address_2": "Suite 101",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmoline15415@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9200 W Loomis Rd",
            "address_2": "Suite 101",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.