Kyla Paige Teresinski, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14917-33 Issued in WI

Practice address

510 N 17TH Ave Ste C
Wausau, WI 54401-4281

Phone

(715) 849-5333

Fax

(715) 849-4083

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kyla Paige Boyer Former name

Electronic endpoints 5

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Green Bay, WI
  • NPI 1760437644
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1013788397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE STE C",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014281",
            "telephone_number": "715-849-5333",
            "fax_number": "715-849-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Dewey St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544944714",
            "country_code": "US",
            "telephone_number": "715-421-4500",
            "fax_number": "715-421-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Godfrey Dr Ste 119",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549817908",
            "country_code": "US",
            "telephone_number": "715-258-3041",
            "fax_number": "715-258-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N4531 State Highway 22 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541666173",
            "country_code": "US",
            "telephone_number": "715-524-5995",
            "fax_number": "715-953-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERESINSKI",
        "first_name": "KYLA",
        "middle_name": "PAIGE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14917-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.Teresinski@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.Teresinski@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1990 Godfrey Dr Ste 119",
            "city": "Waupaca",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549817908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.Teresinski@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "420 Dewey St Ste 1",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544944714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.Teresinski@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "510 N 17th Ave Ste C",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.Teresinski@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "N4531 State Highway 22 Ste 5",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541666173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "BOYER",
            "middle_name": "PAIGE",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregg W Taylor, MD
• Teleoptometric Service, P.C.
• Daniel Tellijohn, CP
• Tender Home Care LLC
• Justin Bernard Teresinski
• Terrace Court Senior Living, Inc.
• Emma Terwilliger
• Brianna K Tesarik, PTA
• Teresa Tesch, SAC-IT
• Dana Thao, CSFA

• Nurse Practitioner in Wausau, WI
• Providers in Wausau, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.