Colleen K Del Fava, APNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Brown Deer, WI
NPI 1740994292 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1740994292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 13528-33 (WI)
- Practice address
- 4555 W Schroeder Dr
Brown Deer, WI 53223-1475 - Phone
- (414) 355-9000
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230307000657 | WI | Practitioner - Nurse Practitioner | 1456724772 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174832-030 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Memorial Hospital Incorporated | Current |
Accepting new patients |
Locations
4600 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000
4555 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000
34700 Valley Rd
Oconomowoc, WI 53066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 174832-030 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13528-33 | WI | Yes |
Addresses
Primary practice location
4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Mailing address
34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone (262) 646-4411
Other names
- Colleen Mulcahy
Other providers in Brown Deer, WI
- Andree Davis
- Marisha S Davis
- Shenisha Davis
- Eileen Marie Dean
- Deerwood Manor
- Lauren Rose Demshar
- Dentamed Healthcare LLC
- Amelia Deprez
- Jacqueline Dernek
- Anne Patricia Desellier
All providers in Brown Deer, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.