Individual ProviderEmily CarmanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Ste 245, Milwaukee, WI 53215-3669(414) 649-6780PECOS EnrollmentBased on the most recent information from CMS, provider Emily Carman 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 ID1619928090Provider TypeIndividualFull NameCarman, EmilyTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date5/12/2006Last Updated11/30/2021Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Ste 245, Milwaukee, WI 53215-3669Phone(414) 649-6780FaxUnlisted FaxMailing LocationMailing Address2801 W Kinnickinnic River Pkwy, Ste 245, Milwaukee, WI 53215-3669Phone(414) 649-6780FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2712WisconsinCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense138902WisconsinProvider IdentifiersIDDescriptionIssuerID41273800DescriptionMedicaidIssuerUnlistedWisconsin