Individual provider Active NPI

Kaitlin R. Ziemke, APNP

  • Nurse Practitioner
  • Hartland, WI
National Provider Identifier
1497162317
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5823 Issued in WI
Practice address
520 Hartbrook Dr Ste H
Hartland, WI 53029-1405
Phone
(262) 367-7900
Fax
(262) 369-7906
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 5823 WI Primary

Addresses

Primary practice location

520 Hartbrook Dr Ste H
Hartland, WI 53029-1405

Mailing address

520 Hartbrook Dr Ste H
Hartland, WI 53029-1405
Phone (262) 367-7900

Other practice location 1

13133 N Port Washington Rd
Suite G-18
Mequon, WI 53097-2419
Phone (262) 243-5000

Other identifiers 1

IdentifierTypeStateIssuer
1497162317MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kziemke171880@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
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001749 WI Practitioner - Nurse Practitioner 7618194085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5823WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic and Wellness CurrentSince Sep 4, 2022 Accepting new patients
Integrative Medical and Wellness, LLC CurrentSince Aug 11, 2025 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Past Accepting new patients

Locations

675 N Barker Rd
Ste 100
Brookfield, WI 53045
Phone (262) 200-2700

520 Hartbrook Dr
Ste H
Hartland, WI 53029
Phone (262) 367-7900

2100 Gateway Ct
Ste 100
West Bend, WI 53095
Phone (262) 334-8188

Interoperability endpoints

  • Direct secure messaging: kziemke171880@direct.myadvocateaurora.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1497162317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR STE H",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291405",
            "telephone_number": "262-367-7900",
            "fax_number": "262-369-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR STE H",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291405",
            "telephone_number": "262-367-7900",
            "fax_number": "262-369-7906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13133 N Port Washington Rd",
            "address_2": "Suite G-18",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530972419",
            "country_code": "US",
            "telephone_number": "262-243-5000",
            "fax_number": "262-243-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEMKE",
        "first_name": "KAITLIN",
        "middle_name": "R.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497162317",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kziemke171880@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13133 N Port Washington Rd",
            "address_2": "Suite G-18",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530972419",
            "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": "13133 N Port Washington Rd",
            "address_2": "Suite G-18",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530972419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

Verify at the official NPI Registry.