Mary Jo Burgoyne, RN, MSN, APNP - Clinical Nurse Specialist in Milwaukee, WI

Mary Jo Burgoyne, RN, MSN, APNP is a Clinical Nurse Specialist - Psychiatric/mental Health based in Milwaukee, Wisconsin. Mary Jo Burgoyne is licensed to practice in Wisconsin (license number 510-033) and her current practice location is 9200 W Wisconsin Ave, Suite C-2130, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 805-9990.

NPI number for Mary Jo Burgoyne is 1689696007 and her current mailing address is 1522 N Prospect Ave, Suite 1006, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689696007.

Contact Information

Mary Jo Burgoyne, RN, MSN, APNP
9200 W Wisconsin Ave, Suite C-2130,
Milwaukee, WI 53226-3522
(414) 805-9990
(414) 805-0970

Map and Direction




Provider's Profile

Full NameMary Jo Burgoyne
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location9200 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689696007
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 06/06/2013

Medical Identifiers

Medical identifiers for Mary Jo Burgoyne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689696007NPI-NPPES
40956800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 66695-030 (Wisconsin)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 510-033 (Wisconsin)Primary

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. Mary Jo Burgoyne is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Jo Burgoyne, RN, MSN, APNP
1522 N Prospect Ave, Suite 1006,
Milwaukee, WI 53202-6512

Ph: (414) 916-4476
Mary Jo Burgoyne, RN, MSN, APNP
9200 W Wisconsin Ave, Suite C-2130,
Milwaukee, WI 53226-3522

Ph: (414) 805-9990

Reviews and Comments


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