Active NPI
Shirley Ann Herfel, RN
- Registered Nurse
- McFarland, WI
National Provider Identifier
1104543362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 79950
- Practice address
- 5316 Black Walnut Dr
McFarland, WI 53558-8916 - Phone
- (608) 770-8960
- NPI assigned
- Oct 27, 2022
- Last updated
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 79950 | WI | Primary |
Addresses
Primary practice location
5316 Black Walnut Dr
McFarland, WI 53558-8916
Mailing address
5316 Black Walnut Dr
McFarland, WI 53558-8916
Phone (608) 770-8960
Other names 1
- Shirley Maulsby
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79950 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1104543362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 BLACK WALNUT DR",
"city": "MCFARLAND",
"state": "WI",
"postal_code": "535588916",
"telephone_number": "608-770-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 BLACK WALNUT DR",
"city": "MCFARLAND",
"state": "WI",
"postal_code": "535588916",
"telephone_number": "608-770-8960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERFEL",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "79950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "MAULSBY",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McFarland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.