Individual provider Active NPI

Brenda Sue Nolen, FNP-BC

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1720236789
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
141178 Issued in WI
Practice address
2400 W Villard Ave
All Saints Family Care Center
Milwaukee, WI 53209-4901
Phone
(414) 527-8348
Fax
(414) 527-8046
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 141178 WI Primary

Addresses

Primary practice location

2400 W Villard Ave
All Saints Family Care Center
Milwaukee, WI 53209-4901

Mailing address

2400 W Villard Ave
All Saints Family Care Center
Milwaukee, WI 53209-4901
Phone (414) 527-8348

Other identifiers 1

IdentifierTypeStateIssuer
1720236789MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090902000616 WI Practitioner - Nurse Practitioner 5395890941 Reassigns benefits to 4 organizations
I20240326003788 CA Practitioner - Nurse Practitioner 5395890941 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141178WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc CurrentSince May 1, 2018 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 15, 2016 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 15, 2016 Accepting new patients
Upland Hills Health, Inc CurrentSince May 1, 2018 Accepting new patients
Signify Health Medical Associates of California, PC Nurse Practitioner CurrentSince Feb 11, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Upland Hills Health Inc Current Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

W129N7055 Northfield Dr
Ste 100
Menomonee Falls, WI 53051
Phone (262) 253-2510

W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1720236789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "address_2": "ALL SAINTS FAMILY CARE CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8348",
            "fax_number": "414-527-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "address_2": "ALL SAINTS FAMILY CARE CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8348",
            "fax_number": "414-527-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "141178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720236789",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.