Elissa M Derksen, LPN - Licensed Practical Nurse in Waukesha, WI

Elissa M Derksen, LPN is a Licensed Practical Nurse based in Waukesha, Wisconsin. Elissa M Derksen is licensed to practice in Wisconsin (license number 30994431) and her current practice location is 2422 N Grandview Blvd, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 549-6600.

NPI number for Elissa M Derksen is 1003573841 and her current mailing address is 407 Hartwood Ln, Hartland, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003573841.

Contact Information

Elissa M Derksen, LPN
2422 N Grandview Blvd,
Waukesha, WI 53188-6105
(262) 549-6600
Not Available

Map and Direction




Provider's Profile

Full NameElissa M Derksen
GenderFemale
SpecialityLicensed Practical Nurse
Location2422 N Grandview Blvd, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003573841
  • Provider Enumeration Date: 11/28/2021
  • Last Update Date: 11/28/2021

Medical Identifiers

Medical identifiers for Elissa M Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003573841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 30994431 (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. Elissa M Derksen 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
Elissa M Derksen, LPN
407 Hartwood Ln,
Hartland, WI 53029-2409

Ph: (920) 309-2018
Elissa M Derksen, LPN
2422 N Grandview Blvd,
Waukesha, WI 53188-6105

Ph: (262) 549-6600

Reviews and Comments


Licensed Practical Nurse Nurses in Waukesha, WI

Maureen E Burke, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Lisa Diane Sharkey, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Deborah Lynn Rozelle, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Victoria Champeau, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Ricky F Baumann,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188
Phone: 262-549-6600    Fax: 262-549-6698
Cheryl Metcalf, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 817 Michigan Ave, Waukesha, WI 53188
Phone: 262-370-2366    

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.