Individual provider Active NPI

Heidi K Warmbold, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Weston, WI
National Provider Identifier
1285886531
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10947-33 Issued in WI
Practice address
5703 Memorial CT
Weston, WI 54476-6502
Phone
(715) 204-9808
Fax
(774) 209-4285
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 10947-33 WI Primary
Nurse Practitioner 363L00000X R33773 ND

Addresses

Primary practice location

5703 Memorial CT
Weston, WI 54476-6502

Mailing address

5703 Memorial CT
Weston, WI 54476-6502
Phone (843) 476-1684

Other practice location 1

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8845

Other practice location 2

Aspirus Merrill Hospital
601 S Center Ave
Merrill, WI 54452
Phone (843) 476-1684

Other practice location 3

400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, OR, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081031000050 ND Practitioner - Nurse Practitioner 8921167214 Reassigns benefits to 1 organization
I20150602001791 OR Practitioner - Nurse Practitioner 8921167214 Reassigns benefits to 2 organizations
I20210618001932 WI Practitioner - Nurse Practitioner 8921167214 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of WoodGroup PAC ID 3476554692, 15 clinicians
DRG Clinical SCGroup PAC ID 4082053616, 6 clinicians

Practice addresses (Care Compare)

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8820

5703 Memorial CT
Weston, WI 54476-6502
Phone (715) 204-9808

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
90.06
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10947-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. Multi-Specialty CurrentSince Jun 11, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Multi-Specialty Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. Multi-Specialty CurrentSince Jun 11, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Multi-Specialty Current Accepting new patients
County of Wood Multi-Specialty CurrentSince Apr 2, 2025 Accepting new patients
Salem Health West Valley Multi-Specialty CurrentSince Feb 1, 2018 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Oct 20, 2014 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jun 11, 2021 Accepting new patients
Salem Health Multi-Specialty CurrentSince Dec 14, 2015 Accepting new patients
Aspirus Eagle River Hospital, Inc. Multi-Specialty CurrentSince Jun 11, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. Multi-Specialty CurrentSince Jun 11, 2021 Accepting new patients
DRG Clinical, SC Multi-Specialty CurrentSince Dec 13, 2024 Accepting new patients
County of Wood Multi-Specialty CurrentSince Apr 2, 2025 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Multi-Specialty Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 11, 2021 Accepting new patients
Salem Health CurrentSince Dec 14, 2015 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Fairbanks Memorial Cardiology Center, LLC Multi-Specialty Past Accepting new patients
Fairbanks Memorial Cardiology Center Multi-Specialty Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

5703 Memorial Ct
Weston, WI 54476
Phone (715) 204-9808

111 W Jackson St
Wisconsin Rapids, WI 54495
Phone (715) 421-8820

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1285886531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "843-476-1684",
            "fax_number": "774-209-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "715-204-9808",
            "fax_number": "774-209-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544952702",
            "country_code": "US",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Aspirus Merrill Hospital",
            "address_2": "601 S Center Ave",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "54452",
            "country_code": "US",
            "telephone_number": "843-476-1684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Burdick Expy E",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014768",
            "country_code": "US",
            "telephone_number": "701-857-7388",
            "fax_number": "701-857-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMBOLD",
        "first_name": "HEIDI",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10947-33",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R33773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.