Individual provider Active NPI

Angela Nicole Monzon, APNP, MSN, FNP-BC

  • Family Nurse Practitioner
  • West Allis, WI
National Provider Identifier
1689668287
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3044-33 Issued in WI
Practice address
2400 S 102ND St Ste 102
West Allis, WI 53227-2132
Phone
(414) 336-3000
Fax
(414) 336-1015
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 141496-30 WI
Family Nurse Practitioner 363LF0000X 3044-33 WI Primary

Addresses

Primary practice location

2400 S 102ND St Ste 102
West Allis, WI 53227-2132

Mailing address

2400 S 102ND St Ste 102
West Allis, WI 53227-2132
Phone (414) 336-3000

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
I20161230001425 WI Practitioner - Nurse Practitioner 4789617226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rihawi MD SCGroup PAC ID 6204259559, 3 clinicians

Practice addresses (Care Compare)

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-5288

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3044-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Fort Healthcare Inc CurrentSince Nov 6, 2023 Accepting new patients
Rihawi MD SC CurrentSince Jan 22, 2021 Accepting new patients
Prohealth Physicians PC Family Past Accepting new patients

Locations

1520 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-5500

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

2801 W Kinnickinnic River Pkwy
Ste 468
Milwaukee, WI 53215
Phone (262) 241-4030

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: angela.monzon@direct.forthc.com

Organizations & group practices 5

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 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1689668287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 102ND ST STE 102",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272132",
            "telephone_number": "414-336-3000",
            "fax_number": "414-336-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 102ND ST STE 102",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272132",
            "telephone_number": "414-336-3000",
            "fax_number": "414-336-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APNP, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "141496-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3044-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.