Bluestone Physician Services Wisconsin SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUESTONE PHYSICIAN SERVICES WISCONSIN SC

Doing business as

Bluestone

Practice address

342 N Water St Ste 600
Milwaukee, WI 53202-5715

Phone

(651) 342-1039

Fax

(651) 342-1428

NPI assigned

Jan 14, 2015

Last updated

Aug 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Clark

Title

Ceo

Phone

(480) 518-1333

Specialties & licenses 1

Addresses

Other names 1

• Bluestone Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanna L Burns, MSN, APNP, A-GNP-C

  • Gerontology Nurse Practitioner
  • Milwaukee, WI
  • NPI 1912426958
  Medicare reassignment Care Compare group NPD
• Stephanie Jean Dominguez, PA-C

  • Medical Physician Assistant
  • Milwaukee, WI
  • NPI 1750683371
  Medicare reassignment Care Compare group NPD
• Rebecca S Esser, NP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1770096919
  Medicare reassignment Care Compare group NPD
• Carrie Fitzsimmons, NP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1033523584
  Medicare reassignment Care Compare group NPD
• Nicole E Hembel, NP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1093102402
  Medicare reassignment Care Compare group NPD
• Cassandra Margaret Housh, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1831822832
  Medicare reassignment Care Compare group NPD
• Jacqueline Karlin, APRN

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1518519982
  Medicare reassignment Care Compare group NPD
• Anne E Lawall-Shane, MSN, APNP, ANP-BC

  • Adult Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1558594184
  Medicare reassignment Care Compare group NPD
• Chelsey A Mageski, MSN, APNP, FNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1023613320
  Medicare reassignment Care Compare group NPD
• Sarah E Miller, PA-C

  • Medical Physician Assistant
  • Milwaukee, WI
  • NPI 1790948511
  Medicare reassignment Care Compare group NPD
• Emily Moon, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1891349858
  Medicare reassignment Care Compare group NPD
• Aimee C Schmitt, MSN, APNP, NP-C

  • Adult Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1598132896
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1922497908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N WATER ST STE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025715",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE PHYSICIAN SERVICES WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-518-1333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Sky Transportation LLC
• Blue Sky Transportation LLC
• Blue Willow Counseling and Consulting LLC
• Dewayne Anthony Blue
• Kenyette B Blue
• Bluestone VBC Wi PC
• Samuel S Blumenthal, MD
• Joel H Blumin, MD
• Antonya Boatman
• Lesley Boaz, APNP

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.