Individual provider Active NPI

Judith Michele Rausch, APNP, FNP-C

  • Family Nurse Practitioner
  • La Crosse, WI
National Provider Identifier
1114538717
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10246-33 Issued in WI
Practice address
4000 State Road 16
Valley View Mall Annex
La Crosse, WI 54601-1809
Phone
(608) 784-3886
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10246-33 WI Primary

Addresses

Primary practice location

4000 State Road 16
Valley View Mall Annex
La Crosse, WI 54601-1809

Mailing address

1919 21St St S
La Crosse, WI 54601-6544
Phone (608) 799-9894

Other names 1

  • Miss Judith Michele Henry Former name

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
I20260526002569 WI Order and Referring Only - Nurse Practitioner 1052881547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10246-33WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1114538717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 21ST ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016544",
            "telephone_number": "608-799-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 STATE ROAD 16",
            "address_2": "VALLEY VIEW MALL ANNEX",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011809",
            "telephone_number": "608-784-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "JUDITH",
        "middle_name": "MICHELE",
        "credential": "APNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10246-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "HENRY",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.