Active NPI
Annalyse Victoria Victor, MSN, APNP
- Primary Care Nurse Practitioner
- Waukesha, WI
National Provider Identifier
1932464468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 6452-33
- Practice address
- N16W24131 Riverwood Dr
Cancer Center
Waukesha, WI 53188-1106 - Phone
- (262) 930-0005
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | 17809930 | WI | |
| Family Nurse Practitioner | 363LF0000X | 6452 | WI | |
| Primary Care Nurse Practitioner | 363LP2300X | 6452-33 | WI | Primary |
Addresses
Primary practice location
N16W24131 Riverwood Dr
Cancer Center
Waukesha, WI 53188-1106
Mailing address
W369S10410 Shearer Rd
Eagle, WI 53119-1719
Phone (262) 930-0005
Other names 1
- Annalyse Victoria Kreger
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17809930 | WI | MD | Oncology Registered Nurse |
| 6452 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300
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": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1932464468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W369S10410 SHEARER RD",
"city": "EAGLE",
"state": "WI",
"postal_code": "531191719",
"telephone_number": "262-930-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N16W24131 RIVERWOOD DR",
"address_2": "CANCER CENTER",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881106",
"telephone_number": "262-930-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTOR",
"first_name": "ANNALYSE",
"middle_name": "VICTORIA",
"credential": "MSN, APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "WI",
"license": "17809930",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "6452",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "6452-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNALYSE",
"last_name": "KREGER",
"middle_name": "VICTORIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.