Individual provider Active NPI

Kathryn A Buyeske, NP

  • Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1326245952
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
830-033 Issued in WI
Practice address
216 S 3Rd Ave
Wausau, WI 54401-4636
Phone
(800) 246-5743
Fax
(715) 675-5475
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 830-033 WI Primary

Addresses

Primary practice location

216 S 3Rd Ave
Wausau, WI 54401-4636

Mailing address

4224 Clover St
Two Rivers, WI 54241-1244
Phone (920) 901-1099

Other identifiers 2

IdentifierTypeStateIssuer
43836700MedicaidWI
BUY104288554OtherWINCC CERTIFICATE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
830-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Network Inc. F/K/a Family Planning Health Services Inc. CurrentSince Jan 24, 2021 Accepting new patients

Locations

216 S 3rd Ave
Wausau, WI 54401
Phone (800) 246-5743

719 N 3rd Ave
Wausau, WI 54401
Phone (715) 675-9858

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1326245952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 CLOVER ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542411244",
            "telephone_number": "920-901-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014636",
            "telephone_number": "800-246-5743",
            "fax_number": "715-675-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYESKE",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "830-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43836700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATE",
            "identifier": "BUY104288554",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.