Individual provider Active NPI

Tracy Laubenstein

  • Family Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1588031934
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6612-33 Issued in WI
Practice address
18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone
(414) 208-6933
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6612-33 WI Primary

Addresses

Primary practice location

18740 W Bluemound Rd
Brookfield, WI 53045-2936

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (414) 208-6933

Other identifiers 1

IdentifierTypeStateIssuer
1588031934MedicaidWI

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
I20151013000859 WI Practitioner - Nurse Practitioner 8628387792 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6612-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Spine and Pain SC CurrentSince Feb 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 9, 2017 Accepting new patients
Advanced Pain Management SC CurrentSince Mar 18, 2019 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Feb 1, 2022 Accepting new patients
Advanced Pain Management, SC CurrentSince Mar 18, 2019 Accepting new patients
Wi SHMH SC CurrentSince Dec 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 9, 2017 Accepting new patients

Locations

Dept CH 17057
Palatine, IL 60055

5454 Fargo Ave
Skokie, IL 60077
Phone (847) 674-5454

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

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

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

9120 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 251-3500

9697 Saint Catherines Dr
Ste 102
Pleasant Prairie, WI 53158
Phone (855) 250-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451

Interoperability endpoints

  • Direct secure messaging: tracy.plaskey.1@14940.direct.athenahealth.com
  • Direct secure messaging: tracy.plaskey@214522098548740.direct.elationemr.com

Organizations & group practices 8

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1588031934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "414-208-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452936",
            "telephone_number": "414-208-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBENSTEIN",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6612-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588031934",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.