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TRACY MAE PUTTRE RN APNP AGPCNP-C NPI 1194100339


NPI Information

NPI: 1194100339
Provider Name: TRACY MAE PUTTRE, RN, APNP, AGPCNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-3700
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Tracy Mae Puttre, RN, APNP, AGPCNP-C is an adult health nurse practitioner in Milwaukee, WI with 9 years of experience. Tracy Mae Puttre, RN, APNP, AGPCNP-C NPI is 1194100339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-3700
Fax: (414) 805-3777

The NPI 1194100339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

The enumeration date for this NPI number is 7/29/2015 and was last updated on 9/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner6519-33WISCONSINNo
2363LG0600XNurse PractitionerGerontology6519-33WISCONSINNo
3363LP2300XNurse PractitionerPrimary Care6519-33WISCONSINNo
4363LA2200XNurse PractitionerAdult Health6519-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K400241122MEDICARE PINWISCONSIN
21194100339MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.