Active NPI
Vicki H Musselman, NP
- Nurse Practitioner
- Wausau, WI
National Provider Identifier
1063409159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 719 N 3Rd Ave
Wausau, WI 54401-2965 - Phone
- (715) 675-9858
- Fax
- (715) 675-5475
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | WI | Primary |
Addresses
Primary practice location
719 N 3Rd Ave
Wausau, WI 54401-2965
Mailing address
321 E Arch St
Ironwood, MI 49938-2047
Phone (906) 932-5506
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100325-030 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063409159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E ARCH ST",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499382047",
"telephone_number": "906-932-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 N 3RD AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012965",
"telephone_number": "715-675-9858",
"fax_number": "715-675-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSELMAN",
"first_name": "VICKI",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": null,
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.