Active NPI
Uro GYN Consultations LLC
- Nurse Practitioner
- Mount Horeb, WI
National Provider Identifier
1154768901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 84725-30
- Legal business name
- URO GYN CONSULTATIONS LLC
- Practice address
- 407 N 8TH St
Mount Horeb, WI 53572-1872 - Phone
- (608) 437-5511
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Kruse, MS, APNP
- Title
- Owner
- Phone
- (608) 437-6035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 84725-30 | WI | Primary |
Addresses
Primary practice location
407 N 8TH St
Mount Horeb, WI 53572-1872
Mailing address
2020 County Road Z
Blue Mounds, WI 53517-9629
Phone (608) 647-2138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43961600 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Uro GYN Consultations LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Registered Nurse
- Richland Center, WI
- NPI 1083051163
-
- Nurse Practitioner
- Dodgeville, WI
- NPI 1962849711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Blue Mounds, WI
- NPI 1255380291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1154768901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 COUNTY ROAD Z",
"city": "BLUE MOUNDS",
"state": "WI",
"postal_code": "535179629",
"telephone_number": "608-647-2138",
"fax_number": "608-437-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N 8TH ST",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "535721872",
"telephone_number": "608-437-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URO GYN CONSULTATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "KRUSE",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-437-6035",
"authorized_official_credential": "MS, APNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "84725-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43961600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Horeb, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.