Individual provider Active NPI

Nicole April Groshek

  • Home Health Agency
  • Mosinee, WI
National Provider Identifier
1295446714
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1020 Western Ave Ste C
Mosinee, WI 54455-1531
Phone
(715) 432-2114
NPI assigned
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1020 Western Ave Ste C
Mosinee, WI 54455-1531

Mailing address

1020 Western Ave Ste C
Mosinee, WI 54455-1531
Phone (715) 432-2114

Other identifiers 1

IdentifierTypeStateIssuer
-MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 7154322114 Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1295446714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WESTERN AVE STE C",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551531",
            "telephone_number": "715-432-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WESTERN AVE STE C",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551531",
            "telephone_number": "715-432-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSHEK",
        "first_name": "NICOLE",
        "middle_name": "APRIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "-",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7154322114",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "phone",
            "address_1": "1020 Western Ave Ste C",
            "city": "Mosinee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544551531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.