Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Bastjan, FNP

Individual provider Family Nurse Practitioner · NPI 1578921375

Heather Bastjan, FNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2015, 11 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2350 N Lake Dr Ste 500
Milwaukee, WI 53211-4528
Phone: (414) 289-9669
Fax: (414) 289-9693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6736-33 (WI)

Record details

NPI number1578921375
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 8, 2016
Last updated in NPPESFebruary 8, 2016
Mailing address2350 N Lake Dr, Suite 500, Milwaukee, WI 53211-4528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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