Active NPI
Karl J Klotzbuecher, CRNA
- Certified Registered Nurse Anesthetist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 76954-030
- Doing business as
- Karl Joseph Klotzbuecher
- Practice address
- 3400 Union Ave
Sheboygan, WI 53081-8426 - Phone
- (920) 802-2100
- Fax
- (920) 802-1500
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 569-033 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 76954-030 | WI | Primary |
Addresses
Primary practice location
3400 Union Ave
Sheboygan, WI 53081-8426
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43298700 | Medicaid | WI |
Other names 1
- Karl Joseph Klotzbuecher
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kklotzbuecher45012@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 569-033 | WI | MD | Certified Registered Nurse Anesthetist |
| 76954-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Anesthesiology Associates of Sheboygan, LTD. | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients |
Locations
7395 Solutions Ctr
Chicago, IL 60677
N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800
13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700
13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
Bin 88851
Milwaukee, WI 53288
414 Doctors Ct
Oshkosh, WI 54901
Phone (920) 303-5020
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
620 S Wisconsin Dr
Sheboygan, WI 53083
Phone (920) 565-4595
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461
3141 Saemann Ave
Sheboygan, WI 53081
Phone (920) 783-1250
3400 Union Ave
Sheboygan, WI 53081
Phone (920) 802-2100
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Sheboygan, WI
- NPI 1518914357
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1780791210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 UNION AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530818426",
"telephone_number": "920-802-2100",
"fax_number": "920-802-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZBUECHER",
"first_name": "KARL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "569-033",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "76954-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43298700",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kklotzbuecher45012@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2414 Kohler Memorial Dr",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530813129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2414 Kohler Memorial Dr",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530813129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KARL",
"last_name": "KLOTZBUECHER",
"middle_name": "JOSEPH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.