BENJAMIN WRUCKE
NPI 1417650664
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 27, 2023PECOS Enrolled
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-8998 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Benjamin Wrucke NPPES

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

BENJAMIN WRUCKE (NPI 1417650664) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1417650664
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN WRUCKE
Location Address8701 WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address8701 Watertown Plank RdMilwaukee, WI 53226-3548
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1417650664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 84399-20 (WI)
8701 WATERTOWN PLANK RD, Milwaukee, WI 53226

Secondary Practice Location 1

Location 12675 N Mayfair Rd Ste 400Milwaukee, WI 53226-1305 · Phone (414) 763-6910

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Wrucke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Internal Medicine (Sleep Medicine)
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226

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 Benjamin Wrucke's NPI number?

The NPI number for Benjamin Wrucke is 1417650664. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Benjamin Wrucke located?

Benjamin Wrucke practices at 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-8998.

What is Benjamin Wrucke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Wrucke enrolled in Medicare?

Yes. Benjamin Wrucke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wrucke was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.