Individual provider Active NPI

Angela D Fick, APNP

  • Nurse Practitioner
  • Menomonee Falls, WI
National Provider Identifier
1841849338
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9442-33 Issued in WI
Practice address
N80W12878 Fond Du Lac Ave
Menomonee Falls, WI 53051-4410
Phone
(414) 882-0082
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 9442-33 WI
Nurse Practitioner 363L00000X 9442-33 WI Primary

Addresses

Primary practice location

N80W12878 Fond Du Lac Ave
Menomonee Falls, WI 53051-4410

Mailing address

N80W12878 Fond Du Lac Ave
Menomonee Falls, WI 53051-4410
Phone (414) 882-0082

Other practice location 1

1000 N 92nd St
Milwaukee, WI 53226-3533
Phone (414) 266-2979

Other identifiers 1

IdentifierTypeStateIssuer
1841849338MedicaidWI

Other names 1

  • Angela D Burbach 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
I20191008001730 WI Practitioner - Nurse Practitioner 8527399450 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9442-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Children'S Specialty Group, Inc. Past Accepting new patients

Locations

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

1000 N 92nd St
Wauwatosa, WI 53226
Phone (262) 782-9015

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 2

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1841849338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N80W12878 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514410",
            "telephone_number": "414-882-0082",
            "fax_number": "844-333-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N80W12878 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514410",
            "telephone_number": "414-882-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N 92nd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263533",
            "country_code": "US",
            "telephone_number": "414-266-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICK",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "9442-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9442-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841849338",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BURBACH",
            "middle_name": "D",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.