BOBBIEJO PAUL APNP
NPI 1376966580
Nurse Practitioner - Family in Pewaukee, WI
About Bobbiejo Paul Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOBBIEJO PAUL APNP (NPI 1376966580) is an individual family provider in Pewaukee, Wisconsin, licensed in Wisconsin (5651-33) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bobbiejo Paul Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bobbiejo Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pewaukee, WI 53072
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Athletic & Therapeutic Institute Of Milwaukee, LLC
- 140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEWAUKEE, WI 53072
PEWAUKEE, WI 53072
PEWAUKEE, WI 53072
PEWAUKEE, WI 53072
PEWAUKEE, WI 53072
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 Bobbiejo Paul's NPI number?
The NPI number for Bobbiejo Paul is 1376966580. It was assigned to this individual provider in the NPPES registry on January 23, 2014. The provider is also known as Bobbiejo Garms.
Where is Bobbiejo Paul located?
Bobbiejo Paul practices at 2835 N Grandview Blvd Suite 100, Pewaukee, WI 53072. The listed phone number is (262) 574-2711.
What is Bobbiejo Paul's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bobbiejo Paul enrolled in Medicare?
Yes. Bobbiejo Paul is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bobbiejo Paul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bobbiejo Paul reassigns Medicare benefits to Athletic And Therapeutic Institute Of Milwaukee, LLC (Pewaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bobbiejo Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bobbiejo Paul was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Bobbiejo Paul, APNP · NPI 1376966580
Family physician in Pewaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since January 23, 2014.
## Identity
- **NPI:** 1376966580 (Entity type: Individual)
- **Enumerated:** January 23, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5651-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2835 N GRANDVIEW BLVD, SUITE 100, Pewaukee, WI 53072-5546
- **Phone:** (262) 574-2711 · **Fax:** (262) 574-5193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Athletic And Therapeutic Institute Of Milwaukee, LLC (NPI 1538581418, Pewaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1376966580) · Data from the CMS NPPES public registry.