Nicole Amber Meissner, AGNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

13955-33 Issued in WI

Practice address

2409 S Alverno Rd
Manitowoc, WI 54220-9340

Phone

(920) 901-4420

Fax

(920) 682-4243

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nmeissner561834@direct.froedtert.com

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1285335679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 S ALVERNO RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209340",
            "telephone_number": "920-901-4420",
            "fax_number": "920-682-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 S ALVERNO RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209340",
            "telephone_number": "920-901-4420",
            "fax_number": "920-682-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "NICOLE",
        "middle_name": "AMBER",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "13955-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "196585-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan J McHenry,, OT
• Jennifer C McWilliams, RN
• MDC Manitowoc SC
• Meijer Stores Limited Partnership
• Morgan Losby Meinert, PHARMD
• Julie Catherine Mercier, RN, BSN, CPM, LM
• Jessica Mergen, APNP
• Lorijean Marjorie Mettetal, FNP-C
• Evan Meyer, LPC
• Jessica L Meyer, PA-C

• Gerontology Nurse Practitioner in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.