AMALIA A BROUILLARD FNP B-C, APNP
NPI 1407378086
Nurse Practitioner - Family in West Bend, WI
About Amalia A Brouillard Fnp B-c, Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMALIA A BROUILLARD FNP B-C, APNP (NPI 1407378086) is an individual family provider in West Bend, Wisconsin, licensed in Wisconsin (7662-33) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Amalia A Brouillard Fnp B-c, Apnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53095 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST BEND, WI 53095
WEST BEND, WI 53095
WEST BEND, WI 53095
WEST BEND, WI 53095
WEST BEND, WI 53095
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 Amalia Brouillard's NPI number?
The NPI number for Amalia Brouillard is 1407378086. It was assigned to this individual provider in the NPPES registry on July 14, 2017.
Where is Amalia Brouillard located?
Amalia Brouillard practices at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 836-7300.
What is Amalia Brouillard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amalia Brouillard enrolled in Medicare?
Yes. Amalia Brouillard 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.
When was this NPI record last updated?
The NPPES record for Amalia Brouillard was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amalia A Brouillard, FNP B-C, APNP · NPI 1407378086
Family physician in West Bend, Wisconsin. Individual provider, active in the CMS NPPES registry since July 14, 2017.
## Identity
- **NPI:** 1407378086 (Entity type: Individual)
- **Enumerated:** July 14, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7662-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 PLEASANT VALLEY RD, West Bend, WI 53095-9274
- **Phone:** (262) 836-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1407378086) · Data from the CMS NPPES public registry.