Individual provider Active NPI

Annmarie D Wendorf, APRN, BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1932394764
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3219-33 Issued in WI
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

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36058300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000082 WI Practitioner - Nurse Practitioner 8224127055 Reassigns benefits to 7 organizations

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
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

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 Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3219-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 5, 2012 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 19, 2022 Accepting new patients
Phoenixc Healthcare, SC CurrentSince Mar 1, 2018 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Nov 19, 2022 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Nov 19, 2022 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
James M. Bury, MD, LTD. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 19, 2022 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Sep 1, 2015 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 5, 2012 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jan 11, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Sep 12, 2019 Accepting new patients
Zenith Healthcare SC CurrentSince Feb 13, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Sep 1, 2015 Accepting new patients
Paddock Lake Family Practice, SC Current Accepting new patients
Aurora Medical Group, Inc. PastSince Feb 8, 2023 Accepting new patients

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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.