Individual provider Active NPI

Theresa A. Klein, APNP

  • Nurse Practitioner
  • Glendale, WI
National Provider Identifier
1598195372
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5599 Issued in WI
Practice address
475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone
(414) 961-6767
Fax
(414) 961-6727
NPI assigned
Nov 15, 2013
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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 5599 WI Primary

Addresses

Primary practice location

475 W River Woods Pkwy
Glendale, WI 53212-1081

Mailing address

475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone (414) 961-6767

Other names 1

  • Theresa A Ehr Former name

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
I20131216001020 WI Practitioner - Nurse Practitioner 3375770514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Hospital of Wisconsin, LLCGroup PAC ID 4981741709, 42 clinicians

Practice addresses (Care Compare)

475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone (414) 961-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince Nov 28, 2015 Accepting new patients

Locations

475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1598195372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W RIVER WOODS PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121081",
            "telephone_number": "414-961-6767",
            "fax_number": "414-961-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W RIVER WOODS PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121081",
            "telephone_number": "414-961-6767",
            "fax_number": "414-961-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "THERESA",
        "middle_name": "A.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "EHR",
            "middle_name": "A",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.