Myra Jade Bell, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11190 Issued in WI

Practice address

970 S Silver Lake St Ste 102
Oconomowoc, WI 53066-3802

Phone

(262) 569-7100

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1316681950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 CONSERVANCY ESTATES LN",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909241",
            "telephone_number": "262-212-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S SILVER LAKE ST STE 102",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663802",
            "telephone_number": "262-569-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "MYRA",
        "middle_name": "JADE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "11190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Becker, PA-C
• Pamela Joy Becker, RN
• Carla Bednarek, RN
• Heidi Begovatz
• Samuel Behrend
• Jodi Bellas
• Michelle A. Bensen, MD
• Bergmann Chiropractic LLC
• David Thomas Bergmann, D.C.
• George Karl Bernhardt, LAT, ATC

• Pediatric Nurse Practitioner in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.