Katherine Marie Brockway, NP
NPI 1891500906ActiveIndividual· Nurse Practitioner, Family· Oconomowoc, WI
Nurse Practitioner, Family (NP) with Prohealth Medical Group Inc, practicing in Oconomowoc, Wisconsin. Enrolled in Medicare as practitioner - nurse practitioner. Lists Waukesha Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1891500906 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 7, 2025 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 16470 | WI |
| Registered Nurse | 163W00000X | 221523-30 | WI |
| Nurse Practitioner | 363L00000X | 16470-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Prohealth Medical Group IncMukwonago, WI · 479 clinicians
Hospital affiliation
- Waukesha Memorial HospitalWaukesha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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