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

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: July 19, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

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

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Durable Medical Equipment & Medical Supplies
144 E SUMMIT AVE, SUITE 100
WALES, WI 53183
Physician Assistant
144 E SUMMIT AVE
WALES, WI 53183
Nurse Practitioner
144 E SUMMIT AVE
WALES, WI 53183
Family Medicine
144 E SUMMIT AVE, STE 100
WALES, WI 53183

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437630761, enumerated as an "individual" on August 24, 2018.

The provider is located at 144 E SUMMIT AVE WALES, WI 53183 and the phone number is (262) 968-6161.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.