Individual provider Active NPI

Denise J Carter, NP

  • Adult Health Nurse Practitioner
  • Marshfield, WI
National Provider Identifier
1053558015
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3629-33 Issued in WI
Practice address
2001 S Central Ave Ste a
Marshfield, WI 54449-4973
Phone
(715) 384-2818
Fax
(715) 384-2724
NPI assigned
Jan 13, 2009
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3629-33 WI Primary

Addresses

Primary practice location

2001 S Central Ave Ste a
Marshfield, WI 54449-4973

Mailing address

1105 Hewett St
Neillsville, WI 54456-1343
Phone (715) 743-3051

Other practice location 1

500 E Veterans St
Tomah, WI 54660-3105
Phone (608) 372-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3629-33WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Adolescent Psychiatry Consulting LLC CurrentSince May 29, 2022 Accepting new patients

Locations

2001 S Central Ave
Ste A
Marshfield, WI 54449
Phone (715) 305-8689

Organizations & group practices 1

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1053558015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 HEWETT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561343",
            "telephone_number": "715-743-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CENTRAL AVE STE A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494973",
            "telephone_number": "715-384-2818",
            "fax_number": "715-384-2724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Veterans St",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546603105",
            "country_code": "US",
            "telephone_number": "608-372-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DENISE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "3629-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.