EMILY MARIE GHANEM NP
NPI 1437630761
Nurse Practitioner in Wales, WI

Q: What is Emily Ghanem's NPI number?

The NPI number for Emily Ghanem is 1437630761. It was assigned to this individual provider in the NPPES registry on August 24, 2018. The provider is also known as Emily Marie Hunn Maiden Name.

Q: What is Emily Ghanem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Ghanem was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 24, 2018PECOS Enrolled

82.39/100

CMS Quality Rating

144 E SUMMIT AVE, WALES, WI 53183(262) 968-6161 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 7, 2024, Apr 29, 2024, Apr 8, 2024 and 1 more (4 updates tracked since 2018).

On this page

About Emily Marie Ghanem Np NPPES

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

EMILY MARIE GHANEM NP (NPI 1437630761) is an individual nurse practitioner in Wales, Wisconsin, licensed in Wisconsin (8328) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437630761

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEMILY MARIE GHANEMCredential: NP

Location Address144 E SUMMIT AVEWales, WI 53183-9546

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 968-6161

Sole ProprietorNo

Enumeration DateAugust 24, 2018

Last NPPES UpdateMay 7, 20244 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1437630761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8328

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8328-33 (WI)

144 E SUMMIT AVE, Wales, WI 53183

Open in Google Maps ↗

Other Names 1

Former Name (1)Emily Marie Hunn Maiden Name

Secondary Practice Locations 2

Location 117000 W North Ave Ste 200EBrookfield, WI 53005-4425 · Phone (262) 782-4270

Location 26801 SouthwayGreendale, WI 53129-2428 · Phone (414) 423-0110

Other Identifiers 2

Medicaid100081427WI

Other8328-33WI · Advanced Practice Nurse Prescriber (apnp) License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Marie Ghanem Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Emily Ghanem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc

24 mi

Internal Medicine

400 W RIVER WOODS PKWY
Glendale, WI 53212

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1609881077 (414) 465-3000

Aurora Quick Care, LLC

27 mi

Nurse Practitioner

11270 N PORT WASHINGTON RD
Mequon, WI 53092

Reassigned Medicare billing, Wisconsin enrollment
21 clinicians in this Medicare group

NPI 1609820729 (262) 241-1022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

44 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53183 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Other Providers at the Same Location NPPES 4

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

VICKI LYNN WAEDEKIN P.A.

Physician Assistant

144 E SUMMIT AVE
WALES, WI 53183

Waukesha County (262) 968-6161

JOSIE M RUKAMP APNP

Nurse Practitioner

144 E SUMMIT AVE
WALES, WI 53183

Waukesha County (629) 686-1612

DR. THOMAS K REINERS MD

Family Medicine

144 E SUMMIT AVE, STE 100
WALES, WI 53183

Waukesha County (262) 968-6160

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

144 E SUMMIT AVE, SUITE 100
WALES, WI 53183

Waukesha County (262) 968-6160

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 Emily Ghanem's NPI number?

The NPI number for Emily Ghanem is 1437630761. It was assigned to this individual provider in the NPPES registry on August 24, 2018. The provider is also known as Emily Marie Hunn Maiden Name.

Where is Emily Ghanem located?

Emily Ghanem practices at 144 E Summit Ave, Wales, WI 53183. The listed phone number is (262) 968-6161.

What is Emily Ghanem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emily Ghanem enrolled in Medicare?

Yes. Emily Ghanem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Ghanem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ghanem reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Aurora Quick Care, LLC (Mequon, WI). Each 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 Emily Ghanem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Ghanem accept?

Health plans from CareSource (Common Ground Healthcare) list Emily Ghanem 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.

When was this NPI record last updated?

The NPPES record for Emily Ghanem was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.