Individual provider Active NPI

Debra Harris Hammer, CNM

  • Advanced Practice Midwife
  • Grantsburg, WI
National Provider Identifier
1194880955
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
148794 Issued in WI
Practice address
257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone
(715) 463-5317
Fax
(715) 463-2753
NPI assigned
Dec 22, 2006
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 148794 WI Primary

Addresses

Primary practice location

257 W Saint George Ave
Grantsburg, WI 54840-7827

Mailing address

257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone (715) 463-5317

Other identifiers 1

IdentifierTypeStateIssuer
41277300MedicaidWI

Other names 1

  • Debra Lynn Harris Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000134 WI Practitioner - Certified Nurse Midwife (CNM) 1850306325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burnett Medical Center IncGroup PAC ID 2163314931, 20 clinicians

Practice addresses (Care Compare)

257 W Saint George Ave
Grantburg, WI 54840-7827
Phone (715) 463-5353

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
148794WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Burnett Medical Center Inc Advanced Practice Midwife CurrentSince Jun 14, 2012 Accepting new patients
Burnett Medical Center Inc CurrentSince Jun 14, 2012 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Burnett Medical Center Inc Past Accepting new patients
RCCH Trios Health LLC Past Accepting new patients

Locations

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

Interoperability endpoints

  • Direct secure messaging: dhammer641812@direct.ochin.org

Organizations & group practices 5

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.

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1194880955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W SAINT GEORGE AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407827",
            "telephone_number": "715-463-5317",
            "fax_number": "715-463-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W SAINT GEORGE AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407827",
            "telephone_number": "715-463-5317",
            "fax_number": "715-463-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "DEBRA",
        "middle_name": "HARRIS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "148794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41277300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HARRIS",
            "middle_name": "LYNN",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grantsburg, WI

Sources for this page

Verify at the official NPI Registry.