Individual provider Active NPI

Neelam Patel Nair, FNP

  • Family Nurse Practitioner
  • Chilton, WI
National Provider Identifier
1124578810
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7673-33 Issued in WI
Practice address
614 Memorial Dr
Chilton, WI 53014-1568
Phone
(920) 849-7555
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7673-33 WI
Family Nurse Practitioner 363LF0000X 7673-33 WI Primary
Family Nurse Practitioner 363LF0000X AP132164 TX

Addresses

Primary practice location

614 Memorial Dr
Chilton, WI 53014-1568

Mailing address

257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone (715) 463-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161031000917 TX Practitioner - Nurse Practitioner 7810275641 Reassigns benefits to 2 organizations
I20171016002356 WI Practitioner - Nurse Practitioner 7810275641 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7673-33WIMDNurse Practitioner
AP132164TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Aug 21, 2018 Accepting new patients
Froedtert South, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 10, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 10, 2017 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
EMS Observation, S.C. PastSince Jun 5, 2022 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: neelam.nair.1@30520.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124578810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W SAINT GEORGE AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407827",
            "telephone_number": "715-463-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MEMORIAL DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141568",
            "telephone_number": "920-849-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "NEELAM",
        "middle_name": "PATEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7673-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7673-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.