Active NPI
Shelley Forbus
- Gerontology Nurse Practitioner
- Greenfield, WI
National Provider Identifier
1962356980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1800833
- Practice address
- 4500 W Loomis Rd
Greenfield, WI 53220-4819 - Phone
- (414) 325-5300
- NPI assigned
- Feb 25, 2026
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1800833 | WI | Primary |
Addresses
Primary practice location
4500 W Loomis Rd
Greenfield, WI 53220-4819
Mailing address
125 S 84TH St Ste 400
Milwaukee, WI 53214-1469
Phone (262) 290-1813
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260326000762 | WI | Order and Referring Only - Nurse Practitioner | 4789169913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800833 | WI | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1962356980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S 84TH ST STE 400",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532141469",
"telephone_number": "262-290-1813",
"fax_number": "877-606-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W LOOMIS RD",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204819",
"telephone_number": "414-325-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBUS",
"first_name": "SHELLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "1800833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.