Lynda J. Bahde, APNP
Individual provider Active NPI Family Nurse Practitioner · Marinette, WI
NPI 1104897412 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1104897412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1704-033 (WI)
- Practice address
- 2935 Shore Dr
Marinette, WI 54143-4237 - Phone
- (715) 732-9193
- Fax
- (715) 732-9196
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center Inc
Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
106 S School Rd
Daggett, MI 49821-8555
Phone (906) 753-2155
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
3200 Shore Dr
Marinette, WI 54143-4202
Phone (715) 732-1392
Hospital & facility affiliations
- Bellin Memorial Hospital
- Aurora Medical Center Bay Area
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051129000229 | WI | Practitioner - Nurse Practitioner | 8729008362 | Reassigns benefits to 2 organizations |
| I20071026000723 | MI | Practitioner - Nurse Practitioner | 8729008362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | WI | MD | Clinical Psychologist |
| 4704200437 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Northreach Healthcare, LLC | Past | Accepting new patients |
Locations
106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155
1100 10th St
Menominee, MI 49858
Phone (906) 863-2256
218 S US Highway 141
Crivitz, WI 54114
Phone (715) 854-7477
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
3200 Shore Dr
Marinette, WI 54143
Phone (715) 732-8610
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
Interoperability endpoints
- lbahde31928@direct.thedacare.org
- lbahde942886@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1704-033 | WI | Yes |
| Family Nurse Practitioner | 363LF0000X | 4704200437 | MI |
Addresses
Primary practice location
2935 Shore Dr
Marinette, WI 54143-4237
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43914800 | Medicaid | WI |
Other providers in Marinette, WI
- Aurora Medical Group, Inc
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc.
- Kelly Badker
- Paula Baldwin
- Barker Physical Therapy Clinic SC
- Andrew L. Barker
- Kara Emily Barley
- Kim Steven Barrette
All providers in Marinette, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.