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MRS. GRETCHEN A CUNNINGHAM CNP
NPI 1205951266
Nurse Practitioner - Adult Health in Brookfield, WI

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
17000 W NORTH AVE STE 200E, BROOKFIELD, WI 53005(262) 782-4270 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Mar 31, 2021 (2 updates tracked since 2021).

About Mrs. Gretchen A Cunningham Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRETCHEN A CUNNINGHAM CNP (NPI 1205951266) is an individual adult health provider in Brookfield, Wisconsin, licensed in Wisconsin (16212) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1205951266
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. GRETCHEN A CUNNINGHAMCredential: CNP
Location Address17000 W NORTH AVE STE 200EBrookfield, WI 53005-4425
Mailing Address17000 W North Ave Ste 200eBrookfield, WI 53005-4425 · (262) 782-4270
Phone(262) 782-4270
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1205951266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in WI · 16212✔ Licensed in MI · 4704346345✔ Licensed in OH · NP09077
17000 W NORTH AVE STE 200E, Brookfield, WI 53005
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 W 10th Ave, Rm 004 JamesColumbus, OH 43210-1280 · Phone (614) 293-4128 · Fax (614) 366-7238

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gretchen A Cunningham Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618157983
PECOS Enrollment IDI20241230000789
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCY L MCADOO M.D.
Internal Medicine
17000 W NORTH AVE STE 200E
BROOKFIELD, WI 53005
Waukesha County (262) 594-2946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Cunningham's NPI number?

The NPI number for Gretchen Cunningham is 1205951266. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Gretchen Cunningham located?

Gretchen Cunningham practices at 17000 W North Ave Ste 200E, Brookfield, WI 53005. The listed phone number is (262) 782-4270.

What is Gretchen Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gretchen Cunningham enrolled in Medicare?

Yes. Gretchen Cunningham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gretchen Cunningham accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Gretchen Cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gretchen Cunningham affiliated with any hospitals?

According to CMS data, Gretchen Cunningham is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Gretchen Cunningham was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.