Nicole K Anderson, APNP
Individual provider Active NPI Family Nurse Practitioner · Marshfield, WI
NPI 1124501283 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1124501283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13140 (WI)
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5702 - Phone
- (715) 389-7649
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20221017001599 | WI | Practitioner - Nurse Practitioner | 8224404249 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233588 | WI | MD | Registered Nurse |
| 13140 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
611 N Saint Joseph Ave
Marshfield, WI 54449
Phone (715) 387-1713
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13140 | WI | Yes |
| Registered Nurse | 163W00000X | 233588 | WI |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5702
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 1
611 N Saint Joseph Ave
Marshfield, WI 54449-1832
Phone (715) 387-5511
Other names
- Nikki Hertel
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Other providers in Marshfield, WI
- Dennis R Anderson
- Gregory A Anderson
- Kathryn Greer Anderson
- Kelley Anderson
- Kimberly L Anderson
- Patrick L. Andreae
- Thomas Annen
- Genessa L Antoniewicz
- Elizabeth Appino
- Apria Healthcare LLC
All providers in Marshfield, 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 Jan 15, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.