Active NPI
Annmarie D Wendorf, APRN, BC
- Family Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3219-33
- Practice address
- 2901 W Kinnickinnic River Pkwy Ste 507
Milwaukee, WI 53215-3660 - Phone
- (414) 649-3780
- Fax
- (414) 649-3794
- NPI assigned
- Sep 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3219-33 | WI | Primary |
Addresses
Primary practice location
2901 W Kinnickinnic River Pkwy Ste 507
Milwaukee, WI 53215-3660
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 649-3780
Other practice location 1
6308 8th Ave # 3040
Kenosha, WI 53143-5031
Phone (262) 656-2328 ext. 2551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36058300 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | awendorf198879@direct.myadvocateaurora.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone (414) 649-3990
Hospital & facility affiliations
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3219-33 | WI | MD | Family Nurse Practitioner |
Practice roles
Locations
28063 Network Pl
Chicago, IL 60673
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
975 Port Washington Rd
Ste 310
Grafton, WI 53024
Phone (262) 329-1000
975 Port Washington Rd
#110
Grafton, WI 53024
Phone (262) 329-8000
6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557
6308 8th Ave
#3040
Kenosha, WI 53143
Phone (262) 656-2328
W129N7055 Northfield Dr
Ste 100
Menomonee Falls, WI 53051
Phone (262) 253-2510
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 385-3084
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
3267 S 16th St
Ste 103
Milwaukee, WI 53215
Phone (414) 671-1449
950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036
2901 W Kinnickinnic River Pkwy
Ste 507
Milwaukee, WI 53215
Phone (414) 649-3480
3803 Spring St
Ste 410
Mount Pleasant, WI 53405
Phone (262) 631-8700
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- awendorf198879@direct.myadvocateaurora.org
Organizations & group practices 16
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Cardiovascular Disease Physician
- Kenosha, WI
- NPI 1043610280
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Psychiatric Hospital Unit
- Milwaukee, WI
- NPI 1811926132
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1932394764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-649-3780",
"fax_number": "414-649-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W KINNICKINNIC RIVER PKWY STE 507",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153660",
"telephone_number": "414-649-3780",
"fax_number": "414-649-3794"
}
],
"practiceLocations": [
{
"address_1": "6308 8th Ave # 3040",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531435031",
"country_code": "US",
"telephone_number": "262-656-2328 x2551",
"fax_number": "262-653-5778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDORF",
"first_name": "ANNMARIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "3219-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36058300",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6308 8th Ave # 3040",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531435031",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awendorf198879@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6308 8th Ave # 3040",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531435031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
- 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.