Individual provider Active NPI

Angela Marie Pelzek, APNP

  • Adult Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1457640948
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4326-033 Issued in WI
Practice address
1555 N River Center Dr Ste 206
Milwaukee, WI 53212-3958
Phone
(414) 272-5607
Fax
(414) 272-5617
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4326-033 WI Primary

Addresses

Primary practice location

1555 N River Center Dr Ste 206
Milwaukee, WI 53212-3958

Mailing address

1555 N River Center Dr Ste 206
Milwaukee, WI 53212-3958
Phone (414) 272-5607

Other names 1

  • Angela Marie Fellin Former name

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4326WIMDSurgical Physician Assistant
4326-033WIMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1457640948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N RIVER CENTER DR STE 206",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123958",
            "telephone_number": "414-272-5607",
            "fax_number": "414-272-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N RIVER CENTER DR STE 206",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123958",
            "telephone_number": "414-272-5607",
            "fax_number": "414-272-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZEK",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "4326-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FELLIN",
            "middle_name": "MARIE",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.