Mary J Kahl, APNP
Individual provider Active NPI Family Nurse Practitioner · Eagle River, WI
NPI 1326328972 · NPPES record last updated Nov 7, 2011
Key facts
- NPI
- 1326328972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4504-33 (WI)
- Practice address
- 930 E Wall St
Eagle River, WI 54521-9368 - Phone
- (715) 477-3000
- NPI assigned
- Aug 26, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 36
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000
Hospital & facility affiliations
- Aspirus at Home
- Compassus Home Health
- Aspirus Rhinelander Hospital
- Aspirus Eagle River Hospital
- Howard Young Medical Center
- Aspirus Iron River Hospital & Clinics, Inc
- Aspirus Wausau Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000367 | WI | Practitioner - Nurse Practitioner | 6709058746 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4504-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
930 E Wall St
Eagle River, WI 54521
Phone (715) 477-3000
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
Interoperability endpoints
- mkahl169544@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4504-33 | WI | Yes |
Addresses
Primary practice location
930 E Wall St
Eagle River, WI 54521-9368
Mailing address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-4700
Other providers in Eagle River, WI
- Jacleen Hess
- Amber L Heuss
- David Inserra
- Jenny Lee Jerabek
- Kristie Rose Johns
- Michelle V Kasmarek
- Deborah Ann Kitch
- Kurt William Klemm
- Kimberly Ann Klessig
- Jordan Knopf
All providers in Eagle River, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.