Organization Active NPI

Aurora Medical Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1659599157
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AURORA MEDICAL GROUP, INC.
Practice address
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone
(877) 576-3544
NPI assigned
Apr 23, 2007
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Nan Nelson
Title
Cfo
Phone
(414) 299-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3301 W Forest Home Ave
Milwaukee, WI 53215

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (877) 576-3544

Other identifiers 3

IdentifierTypeStateIssuer
42250600MedicaidWI
000073975OtherWIMEDICARE PIN
32895600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000725 WI Part B Supplier - Clinic/Group Practice 6709794258 Receives reassigned benefits from 5,043 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 Express Way
Bonduel, WI 54107
Phone (715) 758-6444

16985 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 641-8400

190 Gardner Ave
Ste 3
Burlington, WI 53105
Phone (262) 763-7766

1881 Chicago St
De Pere, WI 54115
Phone (920) 403-8000

2483 Corporate Cir
East Troy, WI 53120
Phone (262) 249-2000

3111 W Rawson Ave
Ste 220
Franklin, WI 53132
Phone (414) 325-4450

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

2707 15th Pl
Kenosha, WI 53140
Phone (262) 551-2700

6815 118th Ave
Kenosha, WI 53142
Phone (262) 857-5600

375 East Ave
Lomira, WI 53048
Phone (920) 269-2060

2801 W Kinnickinnic River Pkwy
Ste 436
Milwaukee, WI 53215
Phone (414) 649-3577

120 Chapman Farm Blvd
Mukwonago, WI 53149
Phone (262) 363-3894

S68W15500 Janesville Rd
Ste A
Muskego, WI 53150
Phone (414) 422-4000

700 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 456-2030

3400 Union Ave
Sheboygan, WI 53081
Phone (920) 802-2100

5300 Memorial Dr
Two Rivers, WI 54241
Phone (920) 793-7300

4320 67th Dr
Union Grove, WI 53182
Phone (262) 878-1211

11333 W National Ave
West Allis, WI 53227
Phone (414) 327-2295

7220 W National Ave
West Allis, WI 53214
Phone (414) 257-8500

8901W National Ave
West Allis, WI 53227

8905 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Practitioners & affiliated clinicians

Practitioners 2,151

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,151

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1659599157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "877-576-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "877-576-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42250600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "000073975",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32895600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.