Active NPI
Paula L. Hobart, RN, FNP-C
- Family Nurse Practitioner
- Sturgeon Bay, WI
National Provider Identifier
1295744688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 107825
- Practice address
- 323 S 18TH Ave
Sturgeon Bay, WI 54235-1401 - Phone
- (920) 746-0501
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 107825 | WI | Primary |
Addresses
Primary practice location
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-0501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43905900 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100626000433 | WI | Practitioner - Nurse Practitioner | 2466583919 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Door County Memorial Hospital
Practice addresses (Care Compare)
815 Jefferson St
Algoma, WI 54201-1733
Phone (920) 487-3496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107825 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Door County Memorial Hospital | Current | Accepting new patients | |
| Door County Memorial Hospital | Current | Accepting new patients |
Locations
815 Jefferson St
Algoma, WI 54201
Phone (920) 431-1850
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
1843 Michigan St
Sturgeon Bay, WI 54235
Phone (920) 746-0090
Interoperability endpoints
- paula.hobart@direct.dcmedical.org
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.
-
- Rural Health Clinic/Center
- Sturgeon Bay, WI
- NPI 1326748104
-
- Skilled Nursing Facility
- Sturgeon Bay, WI
- NPI 1083718399
-
- Rural Health Clinic/Center
- Washington Island, WI
- NPI 1174627483
-
- Medicare Defined Swing Bed Hospital Unit
- Sturgeon Bay, WI
- NPI 1497850838
-
- Rural Health Clinic/Center
- Sister Bay, WI
- NPI 1508198961
-
- Rural Health Clinic/Center
- Sturgeon Bay, WI
- NPI 1578892857
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1952639833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1295744688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-746-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-746-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBART",
"first_name": "PAULA",
"middle_name": "L.",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "107825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43905900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.