Active NPI
Deborah Ann Hallingstad
- Adult Health Nurse Practitioner
- Cumberland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 97011-030
- Practice address
- 1110 7TH Ave
Cumberland, WI 54829-9138 - Phone
- (715) 822-7470
- Fax
- (715) 822-7471
- NPI assigned
- May 17, 2017
- Last updated
- May 17, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 97011-030 | WI | Primary |
Addresses
Primary practice location
1110 7TH Ave
Cumberland, WI 54829-9138
Mailing address
2761 1 1/2 St
Cumberland, WI 54829-9443
Phone (715) 822-8352
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.85 of 100
- Quality
- 89.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97011-030 | WI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Memorial Hospital, Inc | Current | Accepting new patients | |
| Cumberland Memorial Hospital Inc | Current | Accepting new patients | |
| Cumberland Memorial Hospital Inc | Current | Accepting new patients | |
| Cumberland Memorial Hospital Inc | Past | Accepting new patients | |
| Cumberland Memorial Hospital Inc | Past | Accepting new patients |
Locations
1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741
1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222
Interoperability endpoints
- deborah.hallingstad@cumberland-directmessage.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
-
dba Cumberland Healthcare Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1952737264
-
dba Maple Ridge Pharmacy
- Community/Retail Pharmacy
- Cumberland, WI
- NPI 1093429821
-
- Medicare Defined Swing Bed Hospital Unit
- Cumberland, WI
- NPI 1730233651
-
dba Cumberland Healthcare
- Family Medicine Physician
- Cumberland, WI
- NPI 1861736472
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1063949378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 1 1/2 ST",
"city": "CUMBERLAND",
"state": "WI",
"postal_code": "548299443",
"telephone_number": "715-822-8352",
"fax_number": "715-822-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 7TH AVE",
"city": "CUMBERLAND",
"state": "WI",
"postal_code": "548299138",
"telephone_number": "715-822-7470",
"fax_number": "715-822-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLINGSTAD",
"first_name": "DEBORAH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "97011-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.