Individual provider Active NPI

Rebecca E Troeller, FNP-BC, APNP

  • Family Nurse Practitioner
  • Whitefish Bay, WI
National Provider Identifier
1770920118
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5441-33 Issued in WI
Practice address
240 E Hampton Rd
Whitefish Bay, WI 53217-5850
Phone
(414) 962-7071
Fax
(414) 962-4241
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5441-33 WI Primary

Addresses

Primary practice location

240 E Hampton Rd
Whitefish Bay, WI 53217-5850

Mailing address

3710 57TH Ave
Kenosha, WI 53144-4820
Phone (262) 652-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000054 WI Practitioner - Nurse Practitioner 8123252038 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5441-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

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

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1770920118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 57TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444820",
            "telephone_number": "262-652-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E HAMPTON RD",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175850",
            "telephone_number": "414-962-7071",
            "fax_number": "414-962-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROELLER",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5441-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.