Active NPI
Amy J Connolly, NP
- Nurse Practitioner
- Brookfield, WI
National Provider Identifier
1841909504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13188-033
- Practice address
- 1300 S Calhoun Rd
Brookfield, WI 53005-6810 - Phone
- (414) 253-8100
- Fax
- (800) 553-4012
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13188-033 | WI | Primary |
Addresses
Primary practice location
1300 S Calhoun Rd
Brookfield, WI 53005-6810
Mailing address
1300 S Calhoun Rd
Second Floor
Brookfield, WI 53005
Phone (414) 253-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13188-033 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773446400000",
"number": "1841909504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S CALHOUN RD",
"address_2": "SECOND FLOOR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "414-253-8100",
"fax_number": "800-553-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S CALHOUN RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056810",
"telephone_number": "414-253-8100",
"fax_number": "800-553-4012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "AMY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "13188-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.