ALLISON R SAJDAK HETZEL (NPI# 1174831150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174831150 |
| Entity Type | Individual |
| Full Name | ALLISON R SAJDAK HETZEL |
| Credential | APNP |
| Practice Address |
1100 Gateway Ct West Bend WI 53095-8539 |
| Practice Telephone | 2623358600 |
| Practice Fax Number | 2623352100 |
| Mailing Telephone | 2623358600 |
| Mailing Fax Number | 2623352100 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4175 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 GATEWAY CT |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346214897 | Ryszard Cholewa | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2006-02-13 |
| 1437614765 | Tracy Conklin | Registered Nurse | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2019-01-31 |
| 1790292944 | Alissa M Straub | Occupational Therapist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2018-01-09 |
| 1225559321 | Abigail Jean Haag Davis | Nurse Practitioner | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2017-06-29 |
| 1174998793 | Kyle Butters | Specialist/Technologist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2015-12-08 |
| 1801280177 | Omuwa Braimah | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095 | 2015-03-25 |
| 1407269335 | Aurora Advanced Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2014-06-09 |
| 1396099479 | Abbey Mishica | Physical Therapy Assistant | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2012-10-29 |
| 1194905273 | Nichole Carstens | Specialist/Technologist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2007-11-06 |
| 1689708976 | Jamie L Everts | Physical Therapist | 1100 Gateway Ct, West Bend, WI 53095 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1386042075 | Horizon Healthcare, Inc. | Nurse Practitioner | 724 Elm St, West Bend, WI 53095-3205 | 2014-12-11 |
| 1851808059 | Allison Danielle Kaczmarek | Nurse Practitioner | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2018-01-09 |
| 1225559321 | Abigail Jean Haag Davis | Nurse Practitioner | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2017-06-29 |
| 1831558113 | Andrea M Pipito | Nurse Practitioner | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2016-02-16 |
| 1679998892 | Ronael M Schneeberger | Nurse Practitioner | 5595 County Road Z, West Bend, WI 53095 | 2014-02-25 |
| 1639425499 | Megan Sloan | Nurse Practitioner | 532 Shepherds Dr, West Bend, WI 53090-8488 | 2012-07-31 |
| 1952635864 | Holly A Schneider | Nurse Practitioner | 908 W Washington St, West Bend, WI 53095-2430 | 2009-09-24 |
| 1841403888 | Kristi E Caddock | Nurse Practitioner | 3200 Pleasant Valley Rd, Kraemer Cancer Care Center, West Bend, WI 53095-9274 | 2007-05-07 |
| 1396841128 | Gail Reichle | Nurse Practitioner | 333 E Washington St, Suite 2000, West Bend, WI 53095-2585 | 2006-09-16 |
| Find all providers in WEST BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.