Individual provider Active NPI

Karyn R Weigel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marshfield, WI
National Provider Identifier
1053291138
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17364-33 Issued in WI
Practice address
630 S Central Ave Ste 204
Marshfield, WI 54449-4196
Phone
(715) 389-0201
Fax
(715) 389-2264
NPI assigned
Sep 8, 2025
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17364-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17364-33 WI Primary

Addresses

Primary practice location

630 S Central Ave Ste 204
Marshfield, WI 54449-4196

Mailing address

630 S Central Ave Ste 204
Marshfield, WI 54449-4196
Phone (715) 389-0201

Other practice location 1

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 389-0201

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
I20260105002019 WI Practitioner - Nurse Practitioner 6800382367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17364-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wood CurrentSince Sep 19, 2025 Accepting new patients
County of Wood CurrentSince Sep 19, 2025 Accepting new patients

Locations

111 W Jackson St
Wisconsin Rapids, WI 54495
Phone (715) 421-8820

Organizations & group practices 2

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1053291138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S CENTRAL AVE STE 204",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494196",
            "telephone_number": "715-389-0201",
            "fax_number": "715-389-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S CENTRAL AVE STE 204",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494196",
            "telephone_number": "715-389-0201",
            "fax_number": "715-389-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544952702",
            "country_code": "US",
            "telephone_number": "715-389-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "KARYN",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "17364-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "17364-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.