Individual provider Active NPI

Patrice M Streicher, APNP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1194899567
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
778 Issued in WI
Practice address
1001 N Sherman Ave
Madison, WI 53704-4232
Phone
(608) 284-0202
Fax
(608) 283-8999
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 778 WI Primary

Addresses

Primary practice location

1001 N Sherman Ave
Madison, WI 53704-4232

Mailing address

1001 N Sherman Ave
Madison, WI 53704-4232
Phone (608) 284-0202

Other names 1

  • Ms. Patrice M Udelhofen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
778WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1194899567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044232",
            "telephone_number": "608-284-0202",
            "fax_number": "608-283-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044232",
            "telephone_number": "608-284-0202",
            "fax_number": "608-283-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREICHER",
        "first_name": "PATRICE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "UDELHOFEN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.