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Haylie Brynne Hansen Nordquist

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

PECOS Enrollment

This provider is enrolled in PECOS as HAYLIE NORDQUIST.

Based on the most recent information from CMS, provider Haylie Brynne Hansen Nordquist is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215616222
Provider Type
Individual
Full Name
Nordquist, Haylie Brynne Hansen
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/17/2023
Last Updated
4/14/2025

Contact Information

Practice Location

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

(414) 727-9183

Unlisted Fax

Mailing Location

2546 N 65th St, Wauwatosa, WI 53213-1409

(262) 623-8226

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7587-23 Wisconsin

Haylie Brynne Hansen Nordquist

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Cortez, Olivia

Lombard, Dawn R

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Schulz, Claire B

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