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AMALIA A BROUILLARD FNP B-C, APNP
NPI 1407378086
Nurse Practitioner - Family in West Bend, WI

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 836-7300 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2019, Jul 14, 2017 (2 updates tracked since 2017).

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

NPI1407378086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMALIA A BROUILLARDCredential: FNP B-C, APNP
Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274
Mailing Address3200 Pleasant Valley RdWest Bend, WI 53095-9274 · (262) 836-7300
Phone(262) 836-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 14, 2017
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
✔ NPI 1407378086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 7662-33
3200 PLEASANT VALLEY RD, West Bend, WI 53095
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID6204093321
PECOS Enrollment IDI20170831000029
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.

Medicare Billing Reassignment

Medicare enrollment records show Amalia Brouillard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
14 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500

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 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.

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 20

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

ABDEL HAI ISMAIL ALQWASMI M.D
Internal Medicine (Hematology & Oncology)
3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095
Washington County (262) 836-7200
MARY OGNENOFF OTR
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

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.

Which organization bills Medicare for Amalia Brouillard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amalia Brouillard reassigns Medicare benefits to Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, 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 Amalia Brouillard'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 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.