Individual provider Active NPI

Michelle M Agnew, M.D.

  • Internal Medicine Physician
  • Brookfield, WI
National Provider Identifier
1720051550
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37094 Issued in WI
Practice address
150 S Sunny Slope Rd
Brookfield, WI 53005-6461
Phone
(262) 786-4550
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37094 WI Primary

Addresses

Primary practice location

150 S Sunny Slope Rd
Brookfield, WI 53005-6461

Mailing address

150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

Other practice location 1

ProHealth Care Medical Centers-South
2130 Big Bend Road
Waukesha, WI 53189
Phone (262) 928-7555

Other practice location 2

ProHealth Care Medical Centers-South
2130 Big Bend Road
Waukesha, WI 53189
Phone (262) 928-7555

Other practice location 3

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

Other identifiers 1

IdentifierTypeStateIssuer
32159100MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address magnewschmit242364@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924001003 WI Practitioner - Internal Medicine 5597660647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Specialists of SE Wi, SCGroup PAC ID 5890697874, 13 clinicians

Practice addresses (Care Compare)

150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37094WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists of SE Wi, SC CurrentSince Sep 26, 2023 Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients

Locations

150 S Sunny Slope Rd
Ste 136
Brookfield, WI 53005
Phone (262) 641-6089

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

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

Interoperability endpoints

  • Direct secure messaging: magnew15660@direct.phci.org
  • Direct secure messaging: magnewschmit242364@direct.myadvocateaurora.org

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 7

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1720051550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD STE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054858",
            "telephone_number": "262-786-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056461",
            "telephone_number": "262-786-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ProHealth Care Medical Centers-South",
            "address_2": "2130 Big Bend Road",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "53189",
            "country_code": "US",
            "telephone_number": "262-928-7555",
            "fax_number": "262-513-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "ProHealth Care Medical Centers-South",
            "address_2": "2130 Big Bend Road",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "53189",
            "country_code": "US",
            "telephone_number": "262-928-7555",
            "fax_number": "262-513-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36500 Aurora Dr",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "WI",
            "postal_code": "53066",
            "country_code": "US",
            "telephone_number": "262-434-1000",
            "fax_number": "262-434-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "37094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32159100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magnewschmit242364@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.