Individual provider Active NPI

Adam Margolis, MSN, APNP, L.AC.

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1891855904
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4232-033 Issued in WI
Practice address
3176 N 51St Blvd
Milwaukee, WI 53216-3234
Phone
(414) 871-9111
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 303 WI
Nurse Practitioner 363L00000X 4232-033 WI Primary

Addresses

Primary practice location

3176 N 51St Blvd
Milwaukee, WI 53216-3234

Mailing address

3176 N 51St Blvd
Milwaukee, WI 53216-3234
Phone (414) 871-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120515000677 WI Practitioner - Nurse Practitioner 9436312295 Reassigns benefits to 1 organization
I20220315000887 MD Practitioner - Nurse Practitioner 9436312295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Empowerment Therapy Services of Maryland, LLCGroup PAC ID 0345644092, 19 clinicians

Practice addresses (Care Compare)

3655 A Old Court Rd
Suite 123
Baltimore, MD 21208-3959
Phone (410) 630-9064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4232-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Services of Maryland, LLC CurrentSince Jan 1, 2022 Accepting new patients
Psychiatric Consultants & Therapists, SC CurrentSince Oct 17, 2013 Accepting new patients

Locations

3655A Old Court Rd
Ste 123
Pikesville, MD 21208
Phone (410) 630-9064

229 E Wisconsin Ave
Ste 600
Milwaukee, WI 53202
Phone (414) 224-3737

229 E Wisconsin Ave
Ste 60
Milwaukee, WI 53202
Phone (414) 224-3737

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1891855904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 N 51ST BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163234",
            "telephone_number": "414-871-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 N 51ST BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163234",
            "telephone_number": "414-871-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "ADAM",
        "credential": "MSN, APNP, L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "303",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4232-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.