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Active NPI 1073773404 Individual Practitioner Male Practitioner

John E Docter , CRNA

Registered Nurse • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

John Docter, CRNA is a registered healthcare professional specializing in Registered Nurse in Brookfield, WI. Practice services are available at 19000 W NORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19000 W North Ave

Brookfield, WI 530454106

Telephone 2627852000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Brookfield, WI (4769 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License WI 30408-030

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
43305200 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Deborah Zdarstek , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083224661

Certified Registered Nurse Anesthetist

NPI 1083698567

Doctor of Medicine (M.D.)

Emily Grimmer , MS, CCC-SLP

Speech-Language Pathologist

NPI 1194983361

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. John Hur , MD

Anesthesiology

NPI 1255314076

Doctor of Medicine (M.D.)

NPI 1316921778

Doctor of Medicine (M.D.)

NPI 1366425167

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2008

Registered at 19000 W NORTH AVE, BROOKFIELD, WI 530454106 (Tel: 2627852000)

📍
Updated Business Mailing Address June 10, 2008

Registered at 1750 MIRRO DR, MANITOWOC, WI 542206712 (Tel: 9206824803)

👤
Provider Name / Credentials Updated June 10, 2008

Recorded as JOHN DOCTER, C.R.N.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2008

Registered Nurse (License #30408-030 in WI)

🟢
Initial NPI Registration & Enumeration June 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073773404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2008
Last Update: June 10, 2008
Sole Proprietor: Yes

Mailing Address

1750 Mirro Dr

Manitowoc, WI 542206712

Phone: 9206824803

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.