Active NPI
Debra Knisbeck, NURSE PRACTITONER
- Nurse Practitioner
- Hartford, WI
National Provider Identifier
1285083139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6991-33
- Practice address
- 626 Foxtail Dr
Hartford, WI 53027-2743 - Phone
- (262) 224-4649
- NPI assigned
- Jun 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6991-33 | WI | Primary |
Addresses
Primary practice location
626 Foxtail Dr
Hartford, WI 53027-2743
Mailing address
626 Foxtail Dr
Hartford, WI 53027-2743
Phone (262) 224-4649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6991-33 | Other | WI | STATE OF WISCONSIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6991-33 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1285083139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 FOXTAIL DR",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530272743",
"telephone_number": "262-224-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 FOXTAIL DR",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530272743",
"telephone_number": "262-224-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNISBECK",
"first_name": "DEBRA",
"credential": "NURSE PRACTITONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6991-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN",
"identifier": "6991-33",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.