Individual provider Active NPI

Trista Ann Patten, APNP

  • Nurse Practitioner
  • Mount Pleasant, WI
National Provider Identifier
1750806188
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F04170188 Issued in WI
Practice address
3811 Spring St # 301
Mount Pleasant, WI 53405-1667
Phone
(262) 687-7091
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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 F04170188 WI Primary

Addresses

Primary practice location

3811 Spring St # 301
Mount Pleasant, WI 53405-1667

Mailing address

3811 Spring St # 301
Mount Pleasant, WI 53405-1667
Phone (262) 687-7091

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
I20180130002554 WI Practitioner - Nurse Practitioner 2365702990 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04170188WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince Mar 17, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 16, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Sep 25, 2018 Accepting new patients
Milwaukee Cardiac Care LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

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

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

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

5434 W Capitol Dr
Ste 1
Milwaukee, WI 53216
Phone (414) 251-3500

3811 Spring St
#301
Mount Pleasant, WI 53405
Phone (262) 687-7091

3811 Spring St
Ste 301
Mount Pleasant, WI 53405
Phone (262) 687-6260

2603 W Rawson Ave
Ste 135
Oak Creek, WI 53154
Phone (414) 271-8181

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 4

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1750806188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 SPRING ST # 301",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SPRING ST # 301",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "TRISTA",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "F04170188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.