Individual ProviderAdam ConlinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660(414) 383-7744PECOS EnrollmentBased on the most recent information from CMS, provider Adam Conlin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538528336Provider TypeIndividualFull NameConlin, AdamCredentialNPGenderMaleSole ProprietorNoEnumeration Date2/22/2016Last Updated12/9/2019Contact InformationPractice LocationPractice Address2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660Phone(414) 383-7744Fax(414) 383-8089Mailing LocationMailing Address2901 W Kinnickinnic River Pkwy, Suite 405, Milwaukee, WI 53215-3677Phone(414) 383-7744Fax(414) 383-8089Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense7154WisconsinCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense197924WisconsinProvider IdentifiersIDDescriptionIssuerID1538528336DescriptionMedicaidIssuerUnlistedWisconsin