Individual provider Active NPI

Kelly Wuhrmann, APNP

  • Family Nurse Practitioner
  • Menomonee Falls, WI
National Provider Identifier
1679904395
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5541-33 Issued in WI
Practice address
N79W12764 Fond Du Lac Ave
Menomonee Falls, WI 53051-4408
Phone
(608) 347-4165
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5541-33 WI Primary

Addresses

Primary practice location

N79W12764 Fond Du Lac Ave
Menomonee Falls, WI 53051-4408

Mailing address

N79W12764 Fond Du Lac Ave
Menomonee Falls, WI 53051-4408

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
I20140703001716 WI Order and Referring Only - Nurse Practitioner 2961627070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5541-33WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1679904395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N79W12764 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N79W12764 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514408",
            "telephone_number": "608-347-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUHRMANN",
        "first_name": "KELLY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5541-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.