Individual provider Active NPI

Sara Gretenhart, APNP

  • Family Nurse Practitioner
  • Cudahy, WI
National Provider Identifier
1821556317
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8850-33 Issued in WI
Practice address
3108 E Hammond Ave
Cudahy, WI 53110-1811
Phone
(414) 722-2947
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 8850-33 WI Primary

Addresses

Primary practice location

3108 E Hammond Ave
Cudahy, WI 53110-1811

Mailing address

3108 E Hammond Ave
Cudahy, WI 53110-1811
Phone (414) 722-2947

Other names 1

  • Ms. Sara Bartoshevich Former name

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
I20190703003047 WI Practitioner - Nurse Practitioner 3375878895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8850-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates LTD SC CurrentSince Mar 16, 2024 Accepting new patients
Milwaukee Urology Specialists, SC PastSince Mar 16, 2024 Accepting new patients
Lakeshore Medical Clinic, LLC Past Accepting new patients

Locations

1111 Delafield St
Ste 207
Waukesha, WI 53188
Phone (262) 446-3593

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

1233 N Mayfair Rd
Ste 117
Wauwatosa, WI 53226
Phone (262) 446-3593

2424 S 90th St
Ste 304
West Allis, WI 53227
Phone (414) 328-8820

Organizations & group practices 3

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1821556317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 E HAMMOND AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101811",
            "telephone_number": "414-722-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 E HAMMOND AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101811",
            "telephone_number": "414-722-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETENHART",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8850-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BARTOSHEVICH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cudahy, WI

Sources for this page

Verify at the official NPI Registry.