Individual provider Active NPI

Heather Yang, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1326528654
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10728-33 Issued in WI
Practice address
1810 N 2ND St
Wausau, WI 54403-3492
Phone
(815) 848-4884
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177033 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10728-33 WI Primary

Addresses

Primary practice location

1810 N 2ND St
Wausau, WI 54403-3492

Mailing address

225780 Rib Mountain Dr # 186
Wausau, WI 54401-3341
Phone (715) 203-7104

Other practice location 1

1100 Lake View Dr
Wausau, WI 54403-6799
Phone (715) 848-4600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001279 WI Practitioner - Nurse Practitioner 0143629733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
177033WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Connection Health Care, Inc. CurrentSince Apr 1, 2021 Accepting new patients

Locations

1810 N 2nd St
Wausau, WI 54403
Phone (715) 848-4884

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1326528654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225780 RIB MOUNTAIN DR # 186",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013341",
            "telephone_number": "715-203-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033492",
            "telephone_number": "815-848-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake View Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544036799",
            "country_code": "US",
            "telephone_number": "715-848-4600",
            "fax_number": "715-845-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177033",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10728-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.