Riley Fugiasco, FNP-BC

Key facts

NPI

1962267674

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

15068-33 (WI)

Practice address

4540 Coral Dr
Brookfield, WI 53045-1327

Phone

(262) 312-4238

NPI assigned

Feb 21, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Mobile Wound Care SC Orthopaedic Surgery Physician · Milwaukee, WI · NPI 1649002734
  Medicare reassignment Care Compare group NPD WI
• Oak Medical SC Internal Medicine Physician · Waukesha, WI · NPI 1669910345
  Medicare reassignment Care Compare group NPD WI
• Maple Medical SC Physical Medicine & Rehabilitation Physician · Waukesha, WI · NPI 1487152104
  Medicare reassignment NPD WI

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Wound Care SC (5 clinicians)
Oak Medical SC (118 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1962267674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530290474",
            "telephone_number": "262-875-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORAL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451327",
            "telephone_number": "262-312-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N20W22961 Watertown Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861306",
            "country_code": "US",
            "telephone_number": "262-875-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUGIASCO",
        "first_name": "RILEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15068-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimball Sands Fuiks, MD
• Richard E Fuller, MD
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All providers in Brookfield, WI · Family Nurse Practitioner in Wisconsin