Hilary Anne Hetzel, APNP
Individual provider Active NPI Family Nurse Practitioner · Sussex, WI
NPI 1992350870 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1992350870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9489 (WI)
- Practice address
- N63W23231 Main St
Sussex, WI 53089-3208 - Phone
- (262) 785-7720
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
595 County Rd R
Denmark, WI 54208-9793
Phone (920) 863-2005
Hospital & facility affiliations
- Unity Hospice
- Bellin Memorial Hospital
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 |
|---|---|---|---|---|
| I20190822000008 | WI | Practitioner - Nurse Practitioner | 0941538466 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9489 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current |
Accepting new patients |
| Sussex Famiily Practice Physical Therapy | Past | Accepting new patients | |
| Bellin Memorial Hospital Inc | Family Medicine | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
595 R Rd
Denmark, WI 54208
Phone (920) 863-2005
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
N63W23231 Main St
Sussex, WI 53089
Phone (262) 785-7720
N64W24086 Main St
Sussex, WI 53089
Phone (262) 246-8009
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700
Interoperability endpoints
- hhetzel924853@direct.emplifyhealth.org
- hhetzel301549@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9489 | WI | Yes |
Addresses
Primary practice location
N63W23231 Main St
Sussex, WI 53089-3208
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320
Other practice location 2
595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F06193000 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Other names
- Hilary Anne Hoffman
Other providers in Sussex, WI
- Joy Anne Hartman
- Anne Marie Hayden
- Dianne Christine Heer
- Karen Lee Heislen
- Michael James Herring
- Betty A Holloway
- Janet Rose Holterman
- Heike J Holzapfel
- Marina Kovacevic Horschak
- Lauren Ashly Hotz
All providers in Sussex, WI · Family 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 Nov 23, 2020. 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.