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
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9200 W WISCONSIN AVE
    DEPT OF RADIOLOGY
    MILWAUKEE, WI
    ZIP 53226
  • Phone: (414) 805-3700

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NPI Details

Tracy Mae Puttre, RN, APNP, AGPCNP-C is an adult health nurse practitioner in Milwaukee, WI with 11 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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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