Individual provider Active NPI

Aileen Elizabeth Rosenberg, APNP

  • Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1578705984
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3705-033 Issued in WI
Practice address
4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone
(414) 325-7246
Fax
(414) 325-3770
NPI assigned
Mar 31, 2009
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 76715 NM
Nurse Practitioner 363L00000X 3705-033 WI Primary

Addresses

Primary practice location

4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057

Mailing address

4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone (414) 325-7246

Other practice location 1

1600 N Main Ave
Lovington, NM 88260-2813
Phone (575) 396-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, NM3 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
I20090512000454 WI Practitioner - Nurse Practitioner 5890844302 Reassigns benefits to 1 organization
I20221014002611 FL Practitioner - Nurse Practitioner 5890844302 Reassigns benefits to 1 organization
I20231222000452 NM Practitioner - Nurse Practitioner 5890844302 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76715NMMDNurse Practitioner
3705-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists CurrentSince Oct 10, 2022 Accepting new patients
Nor-Lea Hospital District CurrentSince Nov 16, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Aug 15, 2011 Accepting new patients
Nor-Lea Hospital District CurrentSince Nov 16, 2023 Accepting new patients
Advanced Pain Management SC Past Accepting new patients

Locations

8255 College Pkwy
Fort Myers, FL 33919
Phone (239) 333-7687

8255 College Pkwy
Ste 200
Fort Myers, FL 33919
Phone (239) 337-6888

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1578705984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Lovington",
            "state": "NM",
            "postal_code": "882602813",
            "country_code": "US",
            "telephone_number": "575-396-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "AILEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "76715",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3705-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.