Tia Marie Vaccaro-Mussehl, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10116 Issued in WI

Practice address

3030 Laura LN Ste 130
Middleton, WI 53562-1872

Phone

(888) 688-4746

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tia.vaccaro-mussehl.1@23915.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23915/brand/1/csg/1/fhir/r4

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.

• Meriter Hospital, Inc.

  • Psychiatric Hospital Unit
  • Madison, WI
  • NPI 1548280225
  NPD
• Meriter Hospital, Inc.

  • General Practice Physician
  • Madison, WI
  • NPI 1548635345
  NPD
• Meriter Hospital, Inc.

  • General Practice Physician
  • Madison, WI
  • NPI 1932572955
  NPD
• Pivotal Health, Inc.

  • Family Medicine Physician
  • Middleton, WI
  • NPI 1508465220

  Family Medicine

  NPD

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1093341380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAURA LN STE 130",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621872",
            "telephone_number": "888-688-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAURA LN STE 130",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621872",
            "telephone_number": "888-688-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO-MUSSEHL",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-03-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "F01201947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin Hospitals and Clinics Authority
• University of Wisconsin Medical Foundation Inc
• University of Wisconsin Medical Foundation, Inc
• University Podiatry Associates, LLP
• Uro GYN Consultations LLC
• Ashlee Marion Vaclavik, PHARMD
• Anita Joan Van Dyke, LPC
• Christine Van Haren, RPH
• Brian A Vasey, MD
• Villa at Middleton Village, LLC

• All providers in Middleton, WI
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.