Active NPI
Mandy L Sikorski, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Wausau, WI
National Provider Identifier
1245727445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13439
- Practice address
- 1100 Lake View Dr
Wausau, WI 54403-6799 - Phone
- (715) 848-4600
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13439 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13439 | WI | Primary |
Addresses
Primary practice location
1100 Lake View Dr
Wausau, WI 54403-6799
Mailing address
1100 Lake View Dr
Wausau, WI 54403-6799
Phone (715) 848-4600
Other names 1
- Mandy L Diestler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Marshall St
Suite a
Wausau, WI 54403-6738
Phone (715) 848-4600
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13439 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Heatlh Care Facility | Past | Accepting new patients |
Locations
1225 Langlade Rd
Antigo, WI 54409
Phone (715) 623-2394
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454
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.
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1821106162
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1245727445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036799",
"telephone_number": "715-848-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036799",
"telephone_number": "715-848-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKORSKI",
"first_name": "MANDY",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "13439",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "13439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "DIESTLER",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.