TRACY BLAIR WANDTKE HERRMANN CNM NPI 1003009010
Advanced Practice Midwife in Milwaukee, WI

Individual Female Advanced Practice Midwife PECOS Enrolled

About TRACY BLAIR WANDTKE HERRMANN CNM

Tracy Wandtke Herrmann is a provider established in Milwaukee, Wisconsin and her medical specialization is Advanced Practice Midwife. The NPI number of Tracy Wandtke Herrmann is 1003009010 and was assigned on August 2007. The practitioner's primary taxonomy code is 367A00000X with license number 148811-032 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1003009010
Provider Name TRACY BLAIR WANDTKE HERRMANN CNM
Provider Location Address1032 S CESAR E CHAVEZ DR MILWAUKEE, WI 53204
Provider Mailing Address1032 S CESAR E CHAVEZ DR MILWAUKEE, WI 53204
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-22-2007
Last Update Date04-05-2017

Tracy Wandtke Herrmann is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)..

Tracy Wandtke Herrmann is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code367A00000X
ClassificationAdvanced Practice Midwife
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.148811-032
License StateWI
Taxonomy DescriptionMidwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).

Business Address

TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Fax: (414) 672-4265

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Mailing Address

TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Fax: (414) 672-4265


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0117:01545MEDICARE PIN (08)WI
521805MEDICARE OSCAR/CERTIFICATION (06)WI
521830MEDICARE OSCAR/CERTIFICATION (06)WI

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003009010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 0 + 2 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003009010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477558104 THOMAS M BACHHUBER M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1538164132 ALICIA M BROEREN M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1093710543 JOHN MATTHEW DUNN M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1164427654 KATHY SUSAN HERNANDEZ M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1952306441 FRANCISCO JAVIER ENRIQUEZ M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1497751952 SHAUNA M LEINBACH CNM
Individual
Advanced Practice Midwife1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1407852916 JULIA NICOLE MENNEN P.A.
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1811993330 MARIANA RINCON M.D., M.P.H.
Individual
Internal Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1467458810 DAVID A WATERS M.D.
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1184620528 JULIE B SCHULLER M.D., MPH
Individual
Internal Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1639142953 JOHN RAYMOND CARROLL M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1386613875 MARY E FORD RN,APNP
Individual
Nurse Practitioner1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1154384329 ANGELA B MONTOTO PA-C
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1245270040 MARY K BRETHAUER CNM,RN
Individual
Advanced Practice Midwife1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1649295593 SARAH IRENE BLEYTHING PA
Individual
Physician Assistant1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1679582563MS. DEBORAH ANN CONTERAS-TADYCH PHD
Individual
Psychologist (Clinical)1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1619072170MS. MARIA ELENA PEREZ PHD
Individual
Psychologist (Clinical)1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 385-6234
1639277148 GEORGENE D SOMMER
Individual
Nutritionist1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1315
1710057674 ALISEN BRIE HUSKE MD
Individual
Pediatrics1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353
1508070244 JAY BERNARD PLUDEMAN M.D.
Individual
Family Medicine1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
(414) 672-1353

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Tracy Blair Wandtke Herrmann Cnm is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.