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

Mr. Frederick Antwi

Individual provider Nurse Practitioner · NPI 1215566435

Mr. Frederick Antwi is a Nurse Practitioner in Pleasant Prairie, Wisconsin. Qualified in 2019, 7 years ago. Practices with Baal Perazim Wellness and Health Services PC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
7
Licensed in
IL, WI
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone: (262) 857-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1620 W Harrison St, Chicago, IL 60612-3801 — (312) 947-0100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17818-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 277003776 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041409625 (IL)

Record details

NPI number1215566435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address3918 Church St, Evanston, IL 60203-1513

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Baal Perazim Wellness And Health Services Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pleasant Prairie