Individual provider Active NPI

Deirdre Louise Cardosa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
National Provider Identifier
1982565628
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025066297 Issued in WI
Practice address
559 Wild Oak Rd
Hartland, WI 53029-1217
Phone
(414) 902-3852
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025066297 WI Primary

Addresses

Primary practice location

559 Wild Oak Rd
Hartland, WI 53029-1217

Mailing address

559 Wild Oak Rd
Hartland, WI 53029-1217

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
I20260206002983 WI Practitioner - Nurse Practitioner 8022597327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901

559 Wild Oak Rd
Hartland, WI 53029-1217

7422 S 50TH St
Franklin, WI 53132-7714

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025066297WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluedot LLC CurrentSince Nov 24, 2025 Accepting new patients
Granada Psychiatry L L C CurrentSince Dec 17, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1982565628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 WILD OAK RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 WILD OAK RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291217",
            "telephone_number": "414-902-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSA",
        "first_name": "DEIRDRE",
        "middle_name": "LOUISE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "2025066297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

Verify at the official NPI Registry.