Anna Greditor, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2311 Issued in WI

Practice address

12507 N Emily LN
Mequon, WI 53092-2611

Phone

(414) 915-6255

Fax

(262) 243-9676

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• MSN Care

  • Addiction Medicine (Family Medicine) Physician
  • West Allis, WI
  • NPI 1669032363
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639227275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 N EMILY LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922611",
            "telephone_number": "414-915-6255",
            "fax_number": "262-243-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 N EMILY LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922611",
            "telephone_number": "414-915-6255",
            "fax_number": "262-243-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREDITOR",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April F Gotzler, ATC/LAT
• Sarah Marie Gracz, MS, LMFT, CEDS
• Laura L Gradecki, D.D.S
• Briana Devon Gratz, ATS
• Grayco LLC
• Candice S Green
• Greenleaf Home Healthcare
• Kate K Greenway, LPC CHT MS COUNSELIN
• Rickey M Griffin Jr.
• Lauren Griffith, LPC

• Family Nurse Practitioner in Mequon, WI
• Providers in Mequon, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.