Individual provider Active NPI

Emily Patzer, APRN, FNP-C

  • Family Nurse Practitioner
  • Racine, WI
National Provider Identifier
1609412071
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9686-33 Issued in WI
Practice address
2505 Iris CT
Racine, WI 53402-1437
Phone
(414) 331-4895
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 9686-33 WI Primary

Addresses

Primary practice location

2505 Iris CT
Racine, WI 53402-1437

Mailing address

2505 Iris CT
Racine, WI 53402-1437
Phone (414) 331-4895

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address epatzer@herzing.edu Direct

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
I20200130001669 WI Practitioner - Nurse Practitioner 5698101244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Integrity Senior HealthGroup PAC ID 4587928130, 5 clinicians

Practice addresses (Care Compare)

4347 Danbury LN
Mount Pleasant, WI 53403-4022
Phone (262) 902-2855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9686-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Senior Health CurrentSince Dec 20, 2019 Accepting new patients

Locations

2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1609412071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 IRIS CT",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021437",
            "telephone_number": "414-331-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 IRIS CT",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021437",
            "telephone_number": "414-331-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZER",
        "first_name": "EMILY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9686-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epatzer@herzing.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2505 Iris Ct",
            "city": "Racine",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534021437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.