OrganizationActive
Phoenix Medical Supplies LLC
NPI 1770916892 · Durable Medical Equipment & Medical Supplies · Waukesha, WI
Provider details
- NPI number
- 1770916892
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jacob Nielsen, Owner(262) 955-8911
- License
- 456-1028557037-02 (WI)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 Oakland Ave
Waukesha, WI 53186-5573
Phone: (262) 955-8911
Street-level locationGet directions
Mailing address
512 Oakland Ave
Waukesha, WI 53186-5573
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2013-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.