Individual provider Active NPI

Tonesha Nicole Walker, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brown Deer, WI
National Provider Identifier
1760140461
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11590-33 Issued in WI
Practice address
4422 W Deer Run Dr Apt 103
Brown Deer, WI 53223-6401
Phone
(414) 243-0003
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11590-33 WI Primary

Addresses

Primary practice location

4422 W Deer Run Dr Apt 103
Brown Deer, WI 53223-6401

Mailing address

4422 W Deer Run Dr Apt 103
Brown Deer, WI 53223-6401
Phone (414) 243-0003

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
I20220217002456 WI Practitioner - Nurse Practitioner 2668866559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geiger Medical LLCGroup PAC ID 2163719626, 25 clinicians

Practice addresses (Care Compare)

15430 W Capitol Dr
Suite 300
Brookfield, WI 53005-2626
Phone (262) 421-5133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Wisconsin S.C. CurrentSince May 19, 2024 Accepting new patients
Geiger Medical, LLC CurrentSince Aug 1, 2024 Accepting new patients
Maple Medical SC CurrentSince Mar 1, 2022 Accepting new patients
Oak Medical SC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

15430 W Capitol Dr
Ste 200
Brookfield, WI 53005

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1760140461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 W DEER RUN DR APT 103",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532236401",
            "telephone_number": "414-243-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 W DEER RUN DR APT 103",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532236401",
            "telephone_number": "414-243-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TONESHA",
        "middle_name": "NICOLE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11590-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

Verify at the official NPI Registry.