Individual provider Active NPI

Deborah Ann Hallingstad

  • Adult Health Nurse Practitioner
  • Cumberland, WI
National Provider Identifier
1063949378
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
97011-030 Issued in WI
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703000535 WI Practitioner - Nurse Practitioner 1355697442 Reassigns benefits to 2 organizations

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
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, 19 clinicians

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 100Reported as group
Quality
89.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97011-030WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Memorial Hospital, Inc CurrentSince Dec 29, 2025 Accepting new patients
Cumberland Memorial Hospital Inc Current Accepting new patients
Cumberland Memorial Hospital Inc CurrentSince Dec 29, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.