Juliana Evanich

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

15854-33 Issued in WI

Practice address

3077 N Mayfair Rd Ste 100
Wauwatosa, WI 53222-4305

Phone

(414) 384-6700

NPI assigned

Aug 29, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juliana.evanich.1@32957.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic Surgeons of Wisconsin, S.C.

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
  • NPI 1295769321

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Ascension All Saints Hospital, Inc

  dba Ascension Rx 1101

  • Community/Retail Pharmacy
  • Mount Pleasant, WI
  • NPI 1164522132
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation
• Midwest Orthopedic Specialty Hospital, LLC

  • Special Hospital
  • Franklin, WI
  • NPI 1861635971
  Care Compare affiliation

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1699509828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON WOODS DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452212",
            "telephone_number": "262-957-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANICH",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15854-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "242550-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erc Wisconsin, LLC
• Janell L Erdmann, LMT, CLT
• Kristen Eronson, BCBA
• Kerry Eskra
• Jerome A Esser, M.D.
• Martha B Evans, NNP-BC, APNP
• Evolve Onward LLC
• Exhale Psychiatry SC
• Eye Care Vision Center of Wauwatosa, Inc
• Family Care Fiscal Agent (ANEW Health Care Services, INC)

• Nurse Practitioner in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.