Active NPI
Brenda Krupa, RN, MSN, PNP, APNP
- Pediatric Nurse Practitioner
- Hillsboro, WI
National Provider Identifier
1891988960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3132-033
- Practice address
- 400 Water Ave
Hillsboro, WI 54634-9054 - Phone
- (608) 489-8115
- Fax
- (608) 489-8181
- NPI assigned
- Aug 22, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 53441-030 | WI | |
| Diabetes Educator Registered Nurse | 163WD0400X | 53441-030 | WI | |
| Nurse Practitioner | 363L00000X | 3132-033 | WI | |
| Pediatric Nurse Practitioner | 363LP0200X | 3132-033 | WI | Primary |
Addresses
Primary practice location
400 Water Ave
Hillsboro, WI 54634-9054
Mailing address
400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3132 | WI | MD | Mental Health Counselor |
| 53441-030 | WI | MD | Diabetes Educator Registered Nurse |
| 3132-033 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1891988960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WATER AVE",
"city": "HILLSBORO",
"state": "WI",
"postal_code": "546349054",
"telephone_number": "608-489-8115",
"fax_number": "608-489-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WATER AVE",
"city": "HILLSBORO",
"state": "WI",
"postal_code": "546349054",
"telephone_number": "608-489-8115",
"fax_number": "608-489-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPA",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "RN, MSN, PNP, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "53441-030",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WI",
"license": "53441-030",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "3132-033",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "3132-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.