Individual provider Active NPI

Emily Anderson, DNP, APNP, FNP-BC

  • Family Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1043704752
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8460-33 Issued in WI
Practice address
2741 N Clairemont Ave
Eau Claire, WI 54703-2594
Phone
(715) 834-0711
NPI assigned
Jun 16, 2018
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8460-33 WI Primary

Addresses

Primary practice location

2741 N Clairemont Ave
Eau Claire, WI 54703-2594

Mailing address

719 W Hamilton Ave Ste B
Eau Claire, WI 54701-6970
Phone (715) 552-9784

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebee159281@ewd.direct.hshs.orp Direct

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
I20180816000532 WI Practitioner - Nurse Practitioner 8022367507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8460-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Aug 6, 2018 Accepting new patients
Oakleaf Clinics Inc CurrentSince Aug 6, 2018 Accepting new patients
Medical X-Ray Consultants, LTD PastSince Apr 24, 2022 Accepting new patients

Locations

2403 Folsom St
Eau Claire, WI 54703

2741 N Clairemont Ave
Eau Claire, WI 54703
Phone (715) 834-0711

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

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": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1043704752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 N CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032594",
            "telephone_number": "715-834-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8460-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebee159281@ewd.direct.hshs.orp",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2741 N Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547032594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.