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SUNAINA SUWAL
NPI 1730956988
Nurse Practitioner in Brookfield, WI

Active since December 07, 2023PECOS EnrolledAccepts Medicare Assignment
17000 W NORTH AVE, BROOKFIELD, WI 53005(262) 782-4270 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunaina Suwal NPPES

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

SUNAINA SUWAL (NPI 1730956988) is an individual nurse practitioner in Brookfield, Wisconsin, licensed in Wisconsin (14394-33) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730956988
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUNAINA SUWAL
Location Address17000 W NORTH AVEBrookfield, WI 53005-4423
Mailing Address17000 W North AveBrookfield, WI 53005-4423
Phone(262) 782-4270
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1730956988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 14394-33
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.
17000 W NORTH AVE, Brookfield, WI 53005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sunaina Suwal 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 ID648613562
PECOS Enrollment IDI20240208000130
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 6

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 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.
185 services152 patients
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.
48 services46 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.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services17 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

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 20

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

DR. MUSHIR HASSAN MD
Internal Medicine
17000 W NORTH AVE, SUITE 200 E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270
JAMES W BURHOP MD
Surgery
17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005
Waukesha County (262) 786-3722
MRS. SUSAN MARIE COBB OTR
Occupational Therapist
17000 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 780-4300
DR. RUSSELL BLANKENBURG MD
Internal Medicine
17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270
MRS. PENNY BEAMS PT
Physical Therapist (Orthopedic)
17000 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 780-4300
BOBBY WU MD
Surgery
17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005
Waukesha County (262) 786-3722
JACQUELINE J BERGNER APNP
Nurse Practitioner (Adult Health)
17000 W NORTH AVE, 104W
BROOKFIELD, WI 53005
Waukesha County (262) 785-7430
ELMBROOK INTERNAL MEDICINE ASSOCIATES S.C.
Clinic/Center (Primary Care)
17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270

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 Sunaina Suwal's NPI number?

The NPI number for Sunaina Suwal is 1730956988. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Sunaina Suwal located?

Sunaina Suwal practices at 17000 W North Ave, Brookfield, WI 53005. The listed phone number is (262) 782-4270.

What is Sunaina Suwal's specialty?

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

Is Sunaina Suwal enrolled in Medicare?

Yes. Sunaina Suwal 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.

What insurance does Sunaina Suwal accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sunaina Suwal 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.

Is Sunaina Suwal affiliated with any hospitals?

According to CMS data, Sunaina Suwal is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Sunaina Suwal was last updated on December 7, 2023. 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.