Individual provider Active NPI

Kathryn Ann Wingate, DNP FNP-C PMHNP-BC

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1265915250
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8656-33 Issued in WI
Practice address
3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458
Phone
(715) 485-8402
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 8656-33 WI Primary

Addresses

Primary practice location

3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458

Mailing address

3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458
Phone (534) 444-4562

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
I20181126001796 WI Practitioner - Nurse Practitioner 6204180540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3703 Oakwood Hills Pkwy
Suite 100
Eau Claire, WI 54701-4458
Phone (534) 444-4562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8656-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 18, 2018 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Aug 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 24, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 24, 2019 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Sep 27, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 18, 2018 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Aug 1, 2022 Accepting new patients

Locations

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

3703 Oakwood Hills Pkwy
Ste 100
Eau Claire, WI 54701
Phone (534) 444-4562

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2501 Hanley Rd
Ste 201
Hudson, WI 54016
Phone (534) 544-5247

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1265915250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 OAKWOOD HILLS PKWY STE 100",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014458",
            "telephone_number": "534-444-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 OAKWOOD HILLS PKWY STE 100",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014458",
            "telephone_number": "715-485-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "DNP FNP-C PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8656-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.