Individual provider Active NPI

Cierria Victoria Bretzel, DNP

  • Family Nurse Practitioner
  • Redgranite, WI
National Provider Identifier
1265276125
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15440-33 Issued in WI
Practice address
1006 County Road Ee
Redgranite, WI 54970-9575
Phone
(920) 566-3167
NPI assigned
Jun 24, 2024
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 15440-33 WI Primary

Addresses

Primary practice location

1006 County Road Ee
Redgranite, WI 54970-9575

Mailing address

448 Valley View Dr
Wautoma, WI 54982-9592
Phone (920) 240-7795

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
I20240910003270 WI Practitioner - Nurse Practitioner 1355881459 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Hospice & Palliative Care CurrentSince Aug 1, 2024 Accepting new patients

Locations

327 N 17th Ave
Ste 7
Wausau, WI 54401
Phone (715) 845-2942

510 N 17th Ave
Ste A
Wausau, WI 54401
Phone (715) 842-7707

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1265276125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 VALLEY VIEW DR",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549829592",
            "telephone_number": "920-240-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 COUNTY ROAD EE",
            "city": "REDGRANITE",
            "state": "WI",
            "postal_code": "549709575",
            "telephone_number": "920-566-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZEL",
        "first_name": "CIERRIA",
        "middle_name": "VICTORIA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15440-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redgranite, WI

Sources for this page

Verify at the official NPI Registry.