Individual provider Active NPI

Timothy M Nispel

  • Non-emergency Medical Transport (VAN)
  • Rice Lake, WI
National Provider Identifier
1326718362
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
12 W Marshall St Ste 107
Rice Lake, WI 54868-2742
Phone
(727) 804-2145
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

12 W Marshall St Ste 107
Rice Lake, WI 54868-2742

Mailing address

12 W Marshall St Ste 107
Rice Lake, WI 54868-2742
Phone (727) 804-2145

Other identifiers 1

IdentifierTypeStateIssuer
8990MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address badger.transportation@badgertransportation.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1326718362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MARSHALL ST STE 107",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682742",
            "telephone_number": "727-804-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MARSHALL ST STE 107",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682742",
            "telephone_number": "727-804-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISPEL",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "badger.transportation@badgertransportation.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 W Marshall St Ste 107",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548682742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

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