Look up the most recent NPI and PECOS records

Brooke A Henschel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763

PECOS Enrollment

This provider is enrolled in PECOS as BROOKE HENSCHEL.

Based on the most recent information from CMS, provider Brooke A Henschel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1245809714
Provider Type
Individual
Full Name
Henschel, Brooke A
Credential
APNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/21/2021
Last Updated
4/4/2023

Contact Information

Practice Location

100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763

(920) 725-4527

Unlisted Fax

Mailing Location

100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763

(920) 725-4527

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F06210791 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 1245809714	Description Medicaid	Issuer Unlisted Wisconsin

Brooke A Henschel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Kossl, Sawyer

Dailey, Kirsten E

Wolf, Emily M

Tucker, Laura A

Lillie, Jessica Marie

Gruendemann, Janet L

Piwoni, Stephanie Jean

Schmidt, Debra

Radtke, Michelle Marie