Amalia A Brouillard, FNP B-C, APNP - Medicare Nurse Practitioner in West Bend, WI

Amalia A Brouillard, FNP B-C, APNP is a medicare enrolled "Nurse Practitioner - Family" in West Bend, Wisconsin. Her current practice location is 3200 Pleasant Valley Rd, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 836-7300.

Amalia A Brouillard is licensed to practice in Wisconsin (license number 7662-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407378086.

Contact Information

Amalia A Brouillard, FNP B-C, APNP
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
(262) 836-7300
Not Available

Map and Direction




Provider's Profile

Full NameAmalia A Brouillard
GenderFemale
SpecialityNurse Practitioner - Family
Location3200 Pleasant Valley Rd, West Bend, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407378086
  • Provider Enumeration Date: 07/14/2017
  • Last Update Date: 04/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204093321
  • Enrollment ID: I20170831000029

Medical Identifiers

Medical identifiers for Amalia A Brouillard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407378086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7662-33 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amalia A Brouillard allows following entities to bill medicare on her behalf.
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amalia A Brouillard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amalia A Brouillard, FNP B-C, APNP
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274

Ph: (262) 836-7300
Amalia A Brouillard, FNP B-C, APNP
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274

Ph: (262) 836-7300

Reviews and Comments


Nurse Practitioner Nurses in West Bend, WI

Alyssa Sekadlo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    Fax: 262-338-9767
Katelyn Steger, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Paradise Dr, West Bend, WI 53095
Phone: 262-334-3451    
Jennifer Nicole Thomson, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Paradise Dr, West Bend, WI 53095
Phone: 262-334-3451    
Dr. Shanice S Kukuck, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1700 Paradise Dr, West Bend, WI 53095
Phone: 262-334-3451    
Monica Katherine Binder, DNP, APNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 W Paradise Dr, West Bend, WI 53095
Phone: 262-334-3451    
Casey L Nolan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095
Phone: 262-836-7300    Fax: 262-836-7301
Stacy L Boden, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095
Phone: 262-334-3451    Fax: 262-306-2964

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.