Individual provider Active NPI

Hilary Anne Hetzel, APNP

  • Family Nurse Practitioner
  • Sussex, WI
National Provider Identifier
1992350870
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9489 Issued in WI
Practice address
N63W23231 Main St
Sussex, WI 53089-3208
Phone
(262) 785-7720
NPI assigned
Aug 7, 2019
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9489 WI Primary

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

595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005

Other practice location 2

555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320

Other names 1

  • Hilary Anne Hoffman Former name

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
I20190822000008 WI Practitioner - Nurse Practitioner 0941538466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

595 County Rd R
Denmark, WI 54208-9793
Phone (920) 863-2005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9489WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Nov 30, 2020 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Nov 30, 2020 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Aug 14, 2019 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

  • Direct secure messaging: hhetzel301549@direct.thedacare.org
  • Direct secure messaging: hhetzel924853@direct.emplifyhealth.org

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 2

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1992350870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N63W23231 MAIN ST",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893208",
            "telephone_number": "262-785-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 County Road R",
            "address_purpose": "LOCATION",
            "city": "Denmark",
            "state": "WI",
            "postal_code": "542089120",
            "country_code": "US",
            "telephone_number": "920-863-2005",
            "fax_number": "920-863-6416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Quality Ct",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "WI",
            "postal_code": "541809006",
            "country_code": "US",
            "telephone_number": "920-532-6320",
            "fax_number": "920-532-6269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETZEL",
        "first_name": "HILARY",
        "middle_name": "ANNE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "HOFFMAN",
            "middle_name": "ANNE",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sussex, WI

Sources for this page

Verify at the official NPI Registry.