Individual provider Active NPI

Corissa Ann Meier-Schraufnagel, RN

  • Registered Nurse
  • Wausau, WI
National Provider Identifier
1033437652
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
171228 Issued in WI
Practice address
1617 Sunnyvale LN
Wausau, WI 54401-9004
Phone
(715) 573-7709
Fax
(715) 298-0007
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 171228 WI Primary

Addresses

Primary practice location

1617 Sunnyvale LN
Wausau, WI 54401-9004

Mailing address

1617 Sunnyvale LN
Wausau, WI 54401-9004
Phone (715) 573-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
171228WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1033437652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SUNNYVALE LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019004",
            "telephone_number": "715-573-7709",
            "fax_number": "715-298-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SUNNYVALE LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019004",
            "telephone_number": "715-573-7709",
            "fax_number": "715-298-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER-SCHRAUFNAGEL",
        "first_name": "CORISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "171228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.