Gerry Lou Sertle, APNP
Individual provider Active NPI Family Nurse Practitioner · Platteville, WI
NPI 1174780944 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1174780944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4918-33 (WI)
- Practice address
- 1450 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-4330
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hillcrest Family Services
Practice addresses (Care Compare)
200 Mercy Dr
Suite 200
Dubuque, IA 52001-7392
Phone (563) 582-0145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IA
- 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 |
|---|---|---|---|---|
| I20121105000700 | WI | Practitioner - Nurse Practitioner | 6507017290 | Reassigns benefits to 1 organization |
| I20220518000940 | IA | Practitioner - Nurse Practitioner | 6507017290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4918-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Services | Current |
Accepting new patients | |
| Hillcrest Family Services | Current |
Accepting new patients | |
| Southwest Health Center, Inc | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Hillcrest Family Services | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients |
Locations
2005 Asbury Rd
Dubuque, IA 52001
Phone (563) 583-7357
200 Mercy Dr
Ste 200
Dubuque, IA 52001
Phone (563) 582-0145
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
1185 N Elm St
Platteville, WI 53818
Phone (608) 342-3001
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Interoperability endpoints
- gsertle263212@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4918-33 | WI | Yes |
Addresses
Primary practice location
1450 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330
Other practice location 1
1185 N Elm St
Platteville, WI 53818-1207
Phone (608) 348-3656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4918-33 | Other | WI | STATE LICENSE NO. |
| 118963 | Other | IA | IOWA NURSING LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GSERTLE263212@DIRECT-EHR-SSMHC.COM | Direct | Southwest Health Center, Inc |
Other providers in Platteville, WI
- Shanna Schumacher
- Halie Schwab
- Adelheid May Schwarz
- Dawn Louise Sennhenn
- Tricia Rose Serres
- Cyrena B. Sexton
- Brooke Shannon
- Megan Rose Sheriff
- Michael Christopher Sheriff
- Ann Furuseth Simcox
All providers in Platteville, 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 Nov 17, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.