Individual provider Active NPI

Bridget S Huenink, APNP

  • Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1962595249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2929-033 Issued in WI
Practice address
2809 N Park Drive LN
Appleton, WI 54911-1603
Phone
(920) 738-4600
NPI assigned
Oct 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2929-033 WI Primary

Addresses

Primary practice location

2809 N Park Drive LN
Appleton, WI 54911-1603

Mailing address

PO Box 8003
Appleton, WI 54912-8003
Phone (920) 996-3298

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
I20061208000479 WI Practitioner - Nurse Practitioner 1456350073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2929-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Ascension Calumet Hospital, Inc CurrentSince Dec 12, 2021 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Apr 25, 2016 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jul 23, 2021 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jul 23, 2021 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Apr 25, 2016 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962595249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8003",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128003",
            "telephone_number": "920-996-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N PARK DRIVE LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111603",
            "telephone_number": "920-738-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENINK",
        "first_name": "BRIDGET",
        "middle_name": "S",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2929-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.