MS. MARY ELLEN I SORENSEN (NPI# 1649358169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649358169 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN I SORENSEN |
| Other Name | MARY ELLEN I KOSKI |
| Credential | APNP |
| Practice Address |
2000 E Layton Ave #100 St Francis WI 53235 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4147446589 |
| Practice Fax Number | 4147478848 |
| Mailing Telephone | 4146476326 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 54783-030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 920-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 E LAYTON AVE #100 |
| City | ST FRANCIS |
| State | WI |
| Zip Code | 53235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467512 | Jeffrey P Hall | Podiatrist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2005-06-16 |
| 1366001331 | Arthur Agostini | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2019-06-12 |
| 1508421728 | Alison Marie Damato | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2019-05-02 |
| 1356843775 | Krystle K Stolzel | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2018-03-01 |
| 1174037667 | Brittany Ward | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-11-20 |
| 1225548712 | Bao Xiong | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-10-10 |
| 1306363551 | Heidi Lee Newton | Occupational Therapist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-08-28 |
| 1336664143 | Sonya Marie Videkovich | Physician Assistant | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-08-14 |
| 1992231823 | Carrie Getka | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235 | 2017-05-11 |
| 1811439615 | Vicki Roth | Physical Therapist | 2000 E Layton Ave, Suite 160, St Francis, WI 53235-6053 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1861903130 | John Elmer Bukowski | Physician Assistant | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2017-10-13 |
| 1790758951 | Andre Daniel | Specialist/Technologist | 3501 S Lake Dr, Milwaukee, WI 53235-0900 | 2006-02-08 |
| 1477067205 | Matthew Seipel | Registered Nurse | 1930 E Saint Francis Ave, St Francis, WI 53235-3633 | 2017-12-01 |
| 1093222721 | M Seipel LLC | Registered Nurse | 1930 E Saint Francis Ave, Saint Francis, WI 53235-3633 | 2018-01-03 |
| 1366714008 | Kathy Snopek | Registered Nurse | 2115 E Saint Francis Ave, St Francis, WI 53235-3636 | 2012-01-26 |
| 1629079132 | St Ann Center for Intergenerational Care Inc | Licensed Practical Nurse | 3221 S Lake Dr, Milwaukee, WI 53235-3702 | 2005-08-09 |
| 1629327531 | Lorenna Wilson | Licensed Practical Nurse | 3221 S Lake Dr, St Francis, WI 53235-3702 | 2012-09-06 |
| Find all providers in zip 53235 | ||||
| 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 |
|---|---|---|---|---|
| 1508421728 | Alison Marie Damato | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2019-05-02 |
| 1356843775 | Krystle K Stolzel | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2018-03-01 |
| 1174037667 | Brittany Ward | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-11-20 |
| 1225548712 | Bao Xiong | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-10-10 |
| 1518373166 | Veronica Lorelei Zimmer | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ST FRANCIS |
| Zip Code | 53235 |
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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.