Individual provider Active NPI

Elizabeth Rachel Mathu, APNP

  • Nurse Practitioner
  • De Pere, WI
National Provider Identifier
1649152240
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17111-33 Issued in WI
Practice address
1385 W Main Ave
De Pere, WI 54115
Phone
(920) 433-9400
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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 17111-33 WI Primary

Addresses

Primary practice location

1385 W Main Ave
De Pere, WI 54115

Mailing address

852 Lone Oak Rd
De Pere, WI 54115-3361
Phone (920) 639-9696

Other names 1

  • Elizabeth Rachel Bildings 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
I20260205003763 WI Practitioner - Nurse Practitioner 2860971264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Green Bay SCGroup PAC ID 1658350616, 12 clinicians

Practice addresses (Care Compare)

1385 W Main Ave
De Pere, WI 54115-9366
Phone (920) 433-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17111-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Green Bay, S.C. CurrentSince Oct 30, 2025 Accepting new patients

Locations

1385 W Main Ave
De Pere, WI 54115

2720 Cahill Rd
Marinette, WI 54143
Phone (715) 732-3420

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: emathu1130492@direct.emplifyhealth.org

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.

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1649152240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 LONE OAK RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153361",
            "telephone_number": "920-639-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-433-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHU",
        "first_name": "ELIZABETH",
        "middle_name": "RACHEL",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "17111-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BILDINGS",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.