Agrace Palliative Care LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

AGRACE PALLIATIVE CARE LLC

Practice address

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Phone

(608) 276-4660

Fax

(608) 327-7268

NPI assigned

Jan 29, 2013

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynne Myers

Title

Ceo/President

Phone

(608) 276-4660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara M Groth, NP

  • Nurse Practitioner
  • Madison, WI
  • NPI 1497980031
  Medicare reassignment Care Compare group NPD
• Nicole M Klaas, APNP

  • Family Nurse Practitioner
  • Dodgeville, WI
  • NPI 1053008466
  Medicare reassignment Care Compare group NPD
• Linda C Norton, ANP

  • Adult Health Nurse Practitioner
  • Madison, WI
  • NPI 1730394859
  Medicare reassignment Care Compare group NPD
• Aimee Reed, RN, APNP

  • Adult Health Nurse Practitioner
  • Madison, WI
  • NPI 1114299005
  Medicare reassignment Care Compare group NPD
• Andrea E Vandermolen, NP

  • Nurse Practitioner
  • Wauwatosa, WI
  • NPI 1134542616
  Medicare reassignment Care Compare group NPD
• Lydia Michelle Lemmenes Weiss, DNP

  • Nurse Practitioner
  • Fitchburg, WI
  • NPI 1629645106
  Medicare reassignment Care Compare group NPD
• Shannon A Ziska

  • Family Nurse Practitioner
  • Fitchburg, WI
  • NPI 1902557218
  Medicare reassignment Care Compare group NPD
• Paula Beltran, APNP

  • Family Nurse Practitioner
  • Barrington, IL
  • NPI 1972050623

  WI

  Medicare reassignment Care Compare group NPD
• Joann Long, APNP

  • Nurse Practitioner
  • Cottage Grove, WI
  • NPI 1174281158
  Medicare reassignment Care Compare group
• Annette Bennett-Otto

  • Nurse Practitioner
  • Waukesha, WI
  • NPI 1073067583
  Medicare reassignment NPD
• John Andrew Bennett, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Oshkosh, WI
  • NPI 1144483439
  Medicare reassignment NPD
• Hilary Danielle Bingol, MD

  • Internal Medicine Physician
  • La Crosse, WI
  • NPI 1730299983

  Hospice and Palliative Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1326386129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-327-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-327-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGRACE PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "608-276-4660"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WI3115",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agrace Eastern Minnesota LLC
• Agrace HME, LLC
• Agrace Hospicecare, Incorporated
• Agrace Iowa LLC
• Agrace Northern Illinois LLC
• Amirna A Ahmed
• Aisha Limited Liability Company
• Heather Elizabeth Albrecht, OTR/L
• James P Albrecht, CRNA
• Ewa I Alexander, MD

• Hospice and Palliative Medicine (Internal Medicine) Physician in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.