| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RISA A ANDERSON | 1972664340 | 2023-11-10 |
Risa A Anderson NP [F] graduated in 1999 and primarily specializes in Nurse Practitioner.
Risa A Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972664340. Registration indicates Risa A Anderson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse: Wound Care, ) (Registered Nurse Wound Care, Nursing Service Providers) (Registered Nurse, )
| PECOS ID | 8022019819 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Risa A Anderson APNP |
| Practice Office Address | 2900 W OKLAHOMA AVE MILWAUKEE, WI US |
| Practice Office Telephone | 4146491292 |
| Practice Office Fax | 4143858721 |
| Mailing Address | 9875 S FRANKLIN DR FRANKLIN, WI 531328895 US |
| Business Telephone | 4146491292 |
| Business Fax | 4148582236 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 1517
WI |
| 163WW0000X | Nursing Service Providers Registered Nurse Registered Nurse: Wound Care Registered Nurse Wound Care Nursing Service Providers Registered Nurse | 125006-030
WI |
| 100003796 | MEDICAID | WI |