MISS MOLLY MARIE ULLENBERG AGPCNP-BC
NPI 1689115818
Nurse Practitioner - Primary Care in Brookfield, WI

Active since March 20, 2017PECOS Enrolled
16655 W BLUEMOUND RD, BROOKFIELD, WI 53005(414) 257-1708(414) 257-1787 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Molly Marie Ullenberg Agpcnp-bc NPPES

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

MISS MOLLY MARIE ULLENBERG AGPCNP-BC (NPI 1689115818) is an individual primary care provider in Brookfield, Wisconsin, licensed in Wisconsin (7448) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689115818
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMISS MOLLY MARIE ULLENBERGCredential: AGPCNP-BC
Location Address16655 W BLUEMOUND RDBrookfield, WI 53005-5957
Mailing Address16655 W Bluemound RdBrookfield, WI 53005-5957 · (414) 257-1708 · Fax (414) 257-1787
Fax(414) 257-1787
Sole ProprietorYes
Enumeration DateMarch 20, 2017
NPI 1689115818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WI · 7448
16655 W BLUEMOUND RD, Brookfield, WI 53005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Molly Marie Ullenberg Agpcnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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 8

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

Counselor
16655 W BLUEMOUND RD, SUITE 300 BRAY CONSULTANTS
BROOKFIELD, WI 53005
Psychologist
16655 W BLUEMOUND RD, SUITE 300
BROOKFIELD, WI 53005
Counselor (Professional)
16655 W BLUEMOUND RD, SUITE 300
BROOKFIELD, WI 53005
Hospice Care, Community Based
16655 W BLUEMOUND RD, STE 310
BROOKFIELD, WI 53005
Dentist (Pediatric Dentistry)
16655 W BLUEMOUND RD, SUITE 380
BROOKFIELD, WI 53005
Behavior Analyst
16655 W BLUEMOUND RD
BROOKFIELD, WI 53005
Behavior Analyst
16655 W BLUEMOUND RD
BROOKFIELD, WI 53005
Nurse Practitioner (Gerontology)
16655 W BLUEMOUND RD, SUITE 310
BROOKFIELD, WI 53005

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 Molly Ullenberg's NPI number?

The NPI number for Molly Ullenberg is 1689115818. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Molly Ullenberg located?

Molly Ullenberg practices at 16655 W Bluemound Rd, Brookfield, WI 53005. The listed phone number is (414) 257-1708.

What is Molly Ullenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Molly Ullenberg enrolled in Medicare?

Yes. Molly Ullenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Molly Ullenberg was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.