Bridget S Huenink, APNP
Individual provider Active NPI Nurse Practitioner · Appleton, WI
NPI 1962595249 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962595249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2929-033 (WI)
- Practice address
- 2809 N Park Drive LN
Appleton, WI 54911-1603 - Phone
- (920) 738-4600
- NPI assigned
- Oct 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
Hospital & facility affiliations
- Meadowbrook at Appleton
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061208000479 | WI | Practitioner - Nurse Practitioner | 1456350073 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2929-033 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension NE Wisconsin, Inc | Current |
Accepting new patients | |
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Calumet Hospital, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients |
Locations
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2929-033 | WI | Yes |
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
Other providers in Appleton, WI
- Kathryn Gunn Huber
- Paula R Hubert
- Roderick Landon Hubert
- Jodi Lynn Huebner
- Paul Huebner
- Kelly Lynn Huenink
- Stephanie L Hueseman
- Shannon L. Huettl
- Jennifer Elizabeth Huff
- Callie Huft
All providers in Appleton, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.