Active NPI
Kenneth Paul Bichell, RN
- Registered Nurse
- Fitchburg, WI
National Provider Identifier
1154090793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 122370
- Practice address
- 2632 Smithfield Dr
Fitchburg, WI 53719-1665 - Phone
- (608) 273-3486
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- 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 | 122370 | IA | Primary |
Addresses
Primary practice location
2632 Smithfield Dr
Fitchburg, WI 53719-1665
Mailing address
595 W 11TH St
Dubuque, IA 52001-6204
Phone (563) 590-2408
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 |
|---|---|---|---|
| 122370 | IA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badgerland Billing LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Skilled Nursing Facility
- Fitchburg, WI
- NPI 1336340561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1154090793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 W 11TH ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016204",
"telephone_number": "563-590-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 SMITHFIELD DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537191665",
"telephone_number": "608-273-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICHELL",
"first_name": "KENNETH",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "122370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.