Individual provider Active NPI

Denita K Ward, APNP, FNP-BC

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1053887943
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8365-33 Issued in WI
Practice address
1200 John Q Hammons Dr Ste 400
Madison, WI 53717-1967
Phone
(608) 410-2700
Fax
(608) 410-2905
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017008379 WI
Nurse Practitioner 363L00000X 8365-33 WI Primary

Addresses

Primary practice location

1200 John Q Hammons Dr Ste 400
Madison, WI 53717-1967

Mailing address

1200 John Q Hammons Dr Ste 400
Madison, WI 53717-1967
Phone (608) 410-2700

Other identifiers 1

IdentifierTypeStateIssuer
1053887943MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dward800525@direct.uwhealth.org

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
I20190501002155 WI Practitioner - Nurse Practitioner 3476895095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8365-33WIMDNurse Practitioner
2017008379WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agrace Palliative Care LLC CurrentSince Mar 3, 2019 Accepting new patients

Locations

5395 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 276-4660

1200 John Q Hammons Dr
Ste 400
Madison, WI 53717
Phone (608) 410-2700

Interoperability endpoints

  • Direct secure messaging: dward800525@direct.uwhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1053887943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171967",
            "telephone_number": "608-410-2700",
            "fax_number": "608-410-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171967",
            "telephone_number": "608-410-2700",
            "fax_number": "608-410-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DENITA",
        "middle_name": "K",
        "credential": "APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2017008379",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8365-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053887943",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dward800525@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "5395 E Cheryl Pkwy",
            "city": "Fitchburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537115395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.