Individual provider Active NPI

Brianna Smith, AGNP-C

  • Adult Health Nurse Practitioner
  • Franklin, WI
National Provider Identifier
1770398463
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
16477-33 Issued in WI
Practice address
10500 W Loomis Rd Ste 130
Franklin, WI 53132-8030
Phone
(414) 488-1111
Fax
(414) 246-2197
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 16477-33 WI Primary

Addresses

Primary practice location

10500 W Loomis Rd Ste 130
Franklin, WI 53132-8030

Mailing address

10500 W Loomis Rd Ste 130
Franklin, WI 53132-8030
Phone (414) 488-1111

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
I20251210001199 WI Practitioner - Nurse Practitioner 3072007822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Wound Care SCGroup PAC ID 4385185032, 5 clinicians

Practice addresses (Care Compare)

111 E Wisconsin Ave
Suite 1925
Milwaukee, WI 53202-4825
Phone (414) 323-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16477-33WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Care SC Single Specialty CurrentSince Oct 3, 2025 Accepting new patients

Locations

111 E Wisconsin Ave
Ste 1925
Milwaukee, WI 53202
Phone (414) 323-0260

Organizations & group practices 1

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1770398463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111",
            "fax_number": "414-246-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIANNA",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "16477-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.