Traci Anne Cabaltera, APNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15642-33 Issued in WI

Practice address

510 E Burleigh St
Milwaukee, WI 53212-2119

Phone

(262) 994-8452

NPI assigned

Sep 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Lutheran Child and Family Service IncGroup PAC ID 0749233898, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wisconsin Lutheran Child and Family Service Inc

  dba Christian Family Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, WI
  • NPI 1083786628

  MN

  Medicare reassignment Care Compare group NPD
• Wisconsin Lutheran Child & Family Service ,Inc.

  dba Christian Family Solutions

  • Adult Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1548866528
  NPD
• Wisconsin Lutheran Child & Family Service, Inc

  dba Christian Family Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1750475513
  NPD (past)
• Wisconsin Lutheran Child & Family Service

  dba Christian Family Counseling

  • Psychologist
  • Mankato, MN
  • NPI 1801271515
  NPD (past)

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1609693712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 WHITETAIL DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534061750",
            "telephone_number": "262-994-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122119",
            "telephone_number": "262-994-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALTERA",
        "first_name": "TRACI",
        "middle_name": "ANNE",
        "credential": "APNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15642-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&J Elite Transportation LLC
• Maria Gabriela Caballero Moersfelder, MS, PCTL
• Antonio C Caballero, M.D.
• Gerardo A Caballero, M.D.
• Rodrigo Caballero, DPT
• Lisa Ann Cabral, D.P.T.
• Patricia Cabral, M.D.
• Jose Mariano Cabrera, M.D.
• Susanne Marie Cabrera, M.D.
• Anthony E Caceres, MD

• Psychiatric/Mental Health Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.