Active NPI
Rebecca Massart, NP
- Nurse Practitioner
- Port Washington, WI
National Provider Identifier
1497815237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2605-033
- Practice address
- 1475 W Grand Ave
Port Washington, WI 53074-2074 - Phone
- (262) 268-5100
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2605-033 | WI | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 2605-033 | WI |
Addresses
Primary practice location
1475 W Grand Ave
Port Washington, WI 53074-2074
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
2205 N Calhoun Rd
Brookfield, WI 53005-5062
Phone (262) 784-2131
Other practice location 2
4349 Raymir Pl
Wauwatosa, WI 53222-1141
Phone (262) 787-2114
Other practice location 3
4349 Raymir Pl
Wauwatosa, WI 53222-1141
Phone (262) 787-2114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36033600 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmassart92745@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2605-033 | WI | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1497815237",
"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": "1475 W GRAND AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742074",
"telephone_number": "262-268-5100"
}
],
"practiceLocations": [
{
"address_1": "2205 N Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055062",
"country_code": "US",
"telephone_number": "262-784-2131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4349 Raymir Pl",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532221141",
"country_code": "US",
"telephone_number": "262-787-2114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4349 Raymir Pl",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532221141",
"country_code": "US",
"telephone_number": "262-787-2114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSART",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2605-033",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WI",
"license": "2605-033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36033600",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmassart92745@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "4349 Raymir Pl",
"city": "Wauwatosa",
"state": "WI",
"country_code": "US",
"postal_code": "532221141",
"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": "4349 Raymir Pl",
"city": "Wauwatosa",
"state": "WI",
"country_code": "US",
"postal_code": "532221141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.