Individual provider Active NPI

Angela Christine Skebba, APNP

  • Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1760112718
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11991-33 Issued in WI
Practice address
690 Westfield Way Ste F
Pewaukee, WI 53072-2585
Phone
(262) 219-5290
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 11991-33 WI Primary

Addresses

Primary practice location

690 Westfield Way Ste F
Pewaukee, WI 53072-2585

Mailing address

N28W22492 Foxwood LN
Waukesha, WI 53186-8861
Phone (414) 745-5539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11991-33WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1760112718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N28W22492 FOXWOOD LN",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868861",
            "telephone_number": "414-745-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 WESTFIELD WAY STE F",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722585",
            "telephone_number": "262-219-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEBBA",
        "first_name": "ANGELA",
        "middle_name": "CHRISTINE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11991-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.