Individual provider Active NPI

Carmen D Papenfuss, FNP-BC

  • Family Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1699300137
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9929-33 Issued in WI
Practice address
2428 N Grandview Blvd Ste 102
Waukesha, WI 53188-6906
Phone
(262) 875-5070
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 9929-33 WI Primary

Addresses

Primary practice location

2428 N Grandview Blvd Ste 102
Waukesha, WI 53188-6906

Mailing address

W351N5933 Westshore CT
Oconomowoc, WI 53066-6717
Phone (414) 394-1339

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
I20200420000606 WI Practitioner - Nurse Practitioner 2163852989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Watertown Family Practice Associates, SCGroup PAC ID 4183608037, 10 clinicians

Practice addresses (Care Compare)

127 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9929-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Family Practice Associates S.C. CurrentSince Dec 5, 2022 Accepting new patients
Oak Medical SC CurrentSince Mar 1, 2020 Accepting new patients

Locations

127 Hospital Dr
Watertown, WI 53098
Phone (414) 261-8500

1625 Coldwater Creek Dr
Waukesha, WI 53188
Phone (262) 521-8800

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20962/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carmen.papenfuss.1@20962.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1699300137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W351N5933 WESTSHORE CT",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530666717",
            "telephone_number": "414-394-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 N GRANDVIEW BLVD STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886906",
            "telephone_number": "262-875-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPENFUSS",
        "first_name": "CARMEN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9929-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.