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

Philip W Diperna, NP

Individual provider Nurse Practitioner · NPI 1508306671

Philip W Diperna, NP is a Nurse Practitioner in Mequon, Wisconsin. Qualified in 2016, 10 years ago. Practices with Vituity-Wisconsin Em SC, a 57-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7597-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 195687-30 (WI)

Record details

NPI number1508306671
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 8, 2017
Last updated in NPPESApril 3, 2017
Mailing address111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vituity-Wisconsin Em Sc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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