Megan L Bucaro

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5585-33 Issued in WI

Practice address

4855 S Moorland Rd
Suite 150
New Berlin, WI 53151-7494

Phone

(414) 425-5660

Fax

(414) 425-9803

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mbucaro54640@direct.chw.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2017.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1962832576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD",
            "address_2": "SUITE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517494",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD",
            "address_2": "SUITE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517494",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCARO",
        "first_name": "MEGAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5585-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962832576",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Brown
• Tyler James Brown, PTA
• Nicole L Brueck, NP
• Bryant Homes, LLC.
• Elizabeth Anne Brzycki, OT, CLT-LANA
• Timothy George Buchanan, MD
• Jessica Maeve Buchberger, D.O.
• Neal Robert Bucholtz, DDS
• Jenny Bucholz, RN
• Kelly Buetow

• All providers in New Berlin, WI
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.