Individual provider Active NPI

Hillary Ann Bashaw, APNP FNP-BC

  • Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1265048805
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10343-33 Issued in WI
Practice address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone
(920) 333-8878
NPI assigned
Sep 18, 2020
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 10343-33 WI Primary

Addresses

Primary practice location

2105 E Enterprise Ave
Appleton, WI 54913-7862

Mailing address

3851 Bower Creek Rd
De Pere, WI 54115-9220
Phone (920) 905-1801

Other practice location 1

1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534
Phone (480) 999-5248

Other names 1

  • Miss Hillary Ann Groddy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201120001627 WI Practitioner - Nurse Practitioner 8022429117 Reassigns benefits to 4 organizations
I20251006000409 AZ Practitioner - Nurse Practitioner 8022429117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Capital LLCGroup PAC ID 6608240411, 2 clinicians
Spine Capital Wisconsin LLCGroup PAC ID 7315434230, 4 clinicians

Practice addresses (Care Compare)

1757 E Baseline Rd
Suite 131
Gilbert, AZ 85233-1534
Phone (480) 999-5248

2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 333-8878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10343-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Capital Wisconsin LLC CurrentSince Aug 23, 2025 Accepting new patients
Spine Capital, LLC CurrentSince Jul 24, 2025 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Sep 6, 2022 Accepting new patients
The Neuroscience Group of Northeast Wisconsin SC CurrentSince Jul 11, 2022 Accepting new patients
Spine Capital LLC CurrentSince Jul 24, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 6, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 6, 2022 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Sep 6, 2022 Accepting new patients

Locations

1757 E Baseline Rd
Ste 131
Gilbert, AZ 85233
Phone (480) 999-5248

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

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

1305 West American Dr
Neenah, WI 54956
Phone (920) 729-7687

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

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1265048805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 BOWER CREEK RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159220",
            "telephone_number": "920-905-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-333-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1757 E Baseline Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852331534",
            "country_code": "US",
            "telephone_number": "480-999-5248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHAW",
        "first_name": "HILLARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10343-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "GRODDY",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.