Individual provider Active NPI

Moireen Janice Ring, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Atkinson, WI
National Provider Identifier
1093570046
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15040-33 Issued in WI
Practice address
511 Madison Ave
Fort Atkinson, WI 53538-1444
Phone
(920) 541-3078
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15040-33 WI Primary

Addresses

Primary practice location

511 Madison Ave
Fort Atkinson, WI 53538-1444

Mailing address

511 Madison Ave
Fort Atkinson, WI 53538-1444
Phone (920) 541-3078

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
I20240502000607 WI Practitioner - Nurse Practitioner 4880034255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Tree Child and Family Services LLC 3 clinicians

Practice addresses (Care Compare)

511 Madison Ave
Fort Atkinson, WI 53538-1444
Phone (920) 541-3078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15040-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary J Kohlenberg MD SC CurrentSince Mar 20, 2024 Accepting new patients
Oak Tree Child and Family Services LLC CurrentSince Mar 1, 2026 Accepting new patients
Flourish & Thrive Counseling LLC PastSince Feb 25, 2024 Accepting new patients

Locations

511 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 541-3078

845 Highway NN E
Mukwonago, WI 53149
Phone (262) 363-6830

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

2717 N Grandview Blvd
Ste 202
Waukesha, WI 53188
Phone (262) 513-0700

Organizations & group practices 3

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1093570046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381444",
            "telephone_number": "920-541-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381444",
            "telephone_number": "920-541-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RING",
        "first_name": "MOIREEN",
        "middle_name": "JANICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15040-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.