Active NPI
Theresa L. Hutzler, APRN, AGACNP
- Nurse Practitioner
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6128
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703-5222 - Phone
- (715) 838-5222
- NPI assigned
- Dec 30, 2006
- Last updated
- Feb 16, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6128 | WI | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 6128-33 | WI | |
| Registered Nurse | 163W00000X | 146779-030 | WI | |
| Home Health Registered Nurse | 163WH0200X | 146779-030 | WI |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703-5222
Mailing address
200 1St St SW
Rochester, MN 55905-0002
Phone (715) 838-5222
Other practice location 1
510 N Terrace St
Janesville, WI 53548-2906
Phone (608) 756-7277
Other names 1
- Theresa L. Corbin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thutzler1669540@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
1222 E Woodland Ave
Barron, WI 54812-1765
Phone (715) 537-3166
2321 Stout Rd
Menomonie, WI 54751-7003
Phone (715) 235-5531
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146779-030 | WI | MD | Home Health Registered Nurse |
| 6128 | WI | MD | Speech-Language Pathologist |
Practice roles
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
510 N Terrace St
Janesville, WI 53548
Phone (608) 756-6869
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111
Interoperability endpoints
- thutzler1669540@ehrdirect.mayoclinicmsg.org
- thutzler484184@direct.gundersenhealth.org
Organizations & group practices 13
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.
-
dba Mayo Clinic Health System-Menomonie
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
dba Mayo Clinic Health System-Bloomer
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
dba Mayo Clinic Health System-Oakridge, Inc.
- Critical Access Hospital
- Osseo, WI
- NPI 1912958026
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Critical Access Hospital
- Wabasha, MN
- NPI 1659355600
-
dba Mayo Clinic Health System - Oakridge in Mondovi
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Home Health Agency
- Wabasha, MN
- NPI 1053346825
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System-Menomonie
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
dba Mayo Clinic Health System in Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
dba Mayo Clinic Health System-Bloomer
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1093871220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050002",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BELLINGER ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035222",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "510 N Terrace St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535482906",
"country_code": "US",
"telephone_number": "608-756-7277",
"fax_number": "608-373-3115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTZLER",
"first_name": "THERESA",
"middle_name": "L.",
"credential": "APRN, AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6128",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "6128-33",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "146779-030",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "146779-030",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thutzler1669540@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1400 Bellinger St",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547035222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THERESA",
"last_name": "CORBIN",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.