Brenda M Veldboom, NP is a medicare enrolled "Nurse Practitioner" in Random Lake, Wisconsin. Her current practice location is
110 Butler St, Random Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 994-9094.
Brenda M Veldboom is licensed to practice in Wisconsin (license number 3202-033) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992990667.
Provider's Profile
| Full Name | Brenda M Veldboom |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 110 Butler St, Random Lake, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brenda M Veldboom attended and graduated from in
NPI Data:
- NPI Number: 1992990667
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brenda M Veldboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992990667 | NPI | - | NPPES |
| 2007004590 | Other | WI | ANCC |
| 36042200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 3202-033 (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. Brenda M Veldboom 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 Address | Practice Location Address |
|---|
Brenda M Veldboom, NP
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Brenda M Veldboom, NP
110 Butler St,
Random Lake, WI 53075-1708
Ph: (920) 994-9094 |
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