Nagel Neighborhood Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NAGEL NEIGHBORHOOD HEALTH LLC

Practice address

612 Mary Knoll LN
Watertown, WI 53098-1216

Phone

(920) 631-1310

Fax

(920) 335-3570

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Linnea Nagel, PA-CNPI 1538194790

Title

President

Phone

(920) 631-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linnea M Nagel, PA

  • Medical Physician Assistant
  • Watertown, WI
  • NPI 1538194790
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1194582924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MARY KNOLL LN",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530981216",
            "telephone_number": "920-631-1310",
            "fax_number": "920-335-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MARY KNOLL LN",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530981216",
            "telephone_number": "920-631-1310",
            "fax_number": "920-335-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGEL NEIGHBORHOOD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-631-1310",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moazam J Samdani MD SC
• Christina Molinaro, PA-C
• Melissa Monroe, LAT
• Samuel Moran
• Laura Morgan
• Linnea M Nagel, PA
• Katherine Napagal, 12622-24
• Melissa Nehls, MD
• Dawn Kristina Nell, RPH
• Elizabeth Alice Nelson, PA-C

• Family Medicine Physician in Watertown, WI
• Providers in Watertown, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.