Individual provider Active NPI

Anthony L Hale, DNP, PMHNP-BC,FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1780951996
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4697 Issued in WI
Practice address
8532 W Capitol Dr Ste 201
Milwaukee, WI 53222-1850
Phone
(414) 446-1040
Fax
(414) 435-9638
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4697 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4697 WI Primary

Addresses

Primary practice location

8532 W Capitol Dr Ste 201
Milwaukee, WI 53222-1850

Mailing address

2113 Tallgrass Cir
Waukesha, WI 53188-2606
Phone (262) 527-9798

Other identifiers 2

IdentifierTypeStateIssuer
1932503240MedicaidWI
1780951996MedicaidWI

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
I20120301000846 WI Practitioner - Nurse Practitioner 5092974519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
M.a.B Health Services LLCGroup PAC ID 8426331687, 2 clinicians

Practice addresses (Care Compare)

8532 W Capitol Dr
Suite 201
Milwaukee, WI 53222-1850
Phone (414) 446-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4697WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
M.a.B Health Services LLC CurrentSince Jan 8, 2017 Accepting new patients

Locations

8532 W Capitol Dr
Ste 201
Milwaukee, WI 53222
Phone (414) 393-4002

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1780951996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 TALLGRASS CIR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882606",
            "telephone_number": "262-527-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221850",
            "telephone_number": "414-446-1040",
            "fax_number": "414-435-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4697",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "4697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932503240",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780951996",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.