Individual provider Active NPI

Lynn K Dahlke, APNP

  • Family Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1235324849
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3203-33 Issued in WI
Practice address
3329 N Richmond St
Appleton, WI 54911-1063
Phone
(920) 380-2715
Fax
(920) 380-2755
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3203-33 WI Primary

Addresses

Primary practice location

3329 N Richmond St
Appleton, WI 54911-1063

Mailing address

3329 N Richmond St
Appleton, WI 54911-1063
Phone (920) 380-2715

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000450 WI Practitioner - Nurse Practitioner 7416005087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Fox Valley Wisconsin, IncGroup PAC ID 0244142420, 260 clinicians

Practice addresses (Care Compare)

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

2700 W 9TH Ave
Oshkosh, WI 54904-7247

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

916 E Main St
Winneconne, WI 54986-9782
Phone (920) 582-1100

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3203WIMDMental Health Counselor
3203-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 7, 2009 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 7, 2009 Accepting new patients

Locations

3329 N Richmond St
Appleton, WI 54911
Phone (920) 380-2715

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 2

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 2

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1235324849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715",
            "fax_number": "920-380-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715",
            "fax_number": "920-380-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKE",
        "first_name": "LYNN",
        "middle_name": "K",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3203-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.