Individual provider Active NPI

Brenda B. Mittelsteadt, BSN. FNP

  • Nurse Practitioner
  • Schofield, WI
National Provider Identifier
1003818857
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1898 Issued in WI
Practice address
4704 Bayberry St
Schofield, WI 54476-6097
Phone
(715) 843-0366
Fax
(715) 322-2084
NPI assigned
Aug 11, 2005
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1898 WI Primary

Addresses

Primary practice location

4704 Bayberry St
Schofield, WI 54476-6097

Mailing address

4704 Bayberry St
Schofield, WI 54476-6097
Phone (715) 843-0366

Other names 1

  • Mrs. Brenda B. Patefield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000510 WI Practitioner - Nurse Practitioner 0345211702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

413 N 17TH Ave
Suite 100
Wausau, WI 54401-4287
Phone (715) 298-4454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1898WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Apnea Care and Wellness LLC CurrentSince Nov 15, 2024 Accepting new patients
Link Healthcare, SC CurrentSince Feb 8, 2023 Accepting new patients
Sleep Apnea Care and Wellness, LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

11825 State Route 40
Ste 100
Dunlap, IL 61525
Phone (309) 243-8980

4704 Bayberry St
Schofield, WI 54476
Phone (715) 843-0366

413 N 17th Ave
Ste 100
Wausau, WI 54401
Phone (715) 298-4454

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1003818857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 BAYBERRY ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766097",
            "telephone_number": "715-843-0366",
            "fax_number": "715-322-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 BAYBERRY ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766097",
            "telephone_number": "715-843-0366",
            "fax_number": "715-322-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTEADT",
        "first_name": "BRENDA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "BSN. FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "PATEFIELD",
            "middle_name": "B.",
            "prefix": "MRS.",
            "credential": "RN. NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schofield, WI

Sources for this page

Verify at the official NPI Registry.