Individual provider Active NPI

Nancy Ellen Plotkin

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1679229181
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
77270-30 Issued in WI
Practice address
2541 W Hunt Club Cir
Milwaukee, WI 53209-1827
Phone
(414) 305-9829
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 77270-30 WI Primary

Addresses

Primary practice location

2541 W Hunt Club Cir
Milwaukee, WI 53209-1827

Mailing address

2541 W Hunt Club Cir
Milwaukee, WI 53209-1827
Phone (414) 305-9829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
77270-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1679229181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 W HUNT CLUB CIR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532091827",
            "telephone_number": "414-305-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 W HUNT CLUB CIR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532091827",
            "telephone_number": "414-305-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "77270-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.