Individual provider Active NPI

Misty M Romero Rivera, APNP

  • Pediatric Nurse Practitioner
  • Beaver Dam, WI
National Provider Identifier
1154828226
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
8307-33 Issued in WI
Practice address
109 Warren St Ste 4
Beaver Dam, WI 53916-3082
Phone
(608) 915-0150
Fax
(608) 203-1027
NPI assigned
Apr 6, 2018
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8307-33 WI
Pediatric Nurse Practitioner 363LP0200X 8307-33 WI Primary

Addresses

Primary practice location

109 Warren St Ste 4
Beaver Dam, WI 53916-3082

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

2202 S Park St
Madison, WI 53713-1916
Phone (608) 443-5480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mromerorivera5914@direct.uwhealth.org

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
I20180509000151 WI Practitioner - Nurse Practitioner 5890059349 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 5, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 5, 2025 Accepting new patients
University of Wisconsin Medical Foundation Inc PastSince Apr 20, 2025 Accepting new patients

Locations

109 Warren St
Beaver Dam, WI 53916
Phone (608) 915-0150

109 Warren St
Ste 4
Beaver Dam, WI 53916
Phone (920) 885-3305

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: sdewolf66161@direct.uwhealth.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1154828226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WARREN ST STE 4",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163082",
            "telephone_number": "608-915-0150",
            "fax_number": "608-203-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131916",
            "country_code": "US",
            "telephone_number": "608-443-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO RIVERA",
        "first_name": "MISTY",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8307-33",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "8307-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mromerorivera5914@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2202 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537131916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.