Individual provider Active NPI

Christopher S. Nevers, D.O.

  • Psychiatry Physician
  • Fitchburg, WI
National Provider Identifier
1194774869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46431 Issued in WI
Practice address
3590 Breckenridge CT
Apt 21
Fitchburg, WI 53713-3672
Phone
(608) 278-1138
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46431 WI Primary

Addresses

Primary practice location

3590 Breckenridge CT
Apt 21
Fitchburg, WI 53713-3672

Mailing address

3590 Breckenridge CT
Apt 21
Fitchburg, WI 53713-3672
Phone (608) 278-1138

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000249 WI Practitioner - Psychiatry 8123126893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sauk CountyGroup PAC ID 7618931148, 13 clinicians

Practice addresses (Care Compare)

505 Broadway St
Baraboo, WI 53913-2183
Phone (608) 355-4200

Hospital & facility affiliations

  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
46431WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sauk CurrentSince May 23, 2007 Accepting new patients
Sauk County CurrentSince May 23, 2007 Accepting new patients
Sauk County Current Accepting new patients

Locations

505 Broadway St
Baraboo, WI 53913
Phone (608) 355-4200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194774869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BRECKENRIDGE CT",
            "address_2": "APT 21",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133672",
            "telephone_number": "608-278-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BRECKENRIDGE CT",
            "address_2": "APT 21",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133672",
            "telephone_number": "608-278-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "46431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.