Organization Active NPI

Danacare LLC

  • Family Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1326813825
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DANACARE LLC
Practice address
6530 Sheridan Rd Ste 7
Kenosha, WI 53143-5063
Phone
(262) 455-7047
Fax
(262) 218-4442
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dana Marie Mehring, NPNPI 1336709468
Title
Owner
Phone
(262) 331-4389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6530 Sheridan Rd Ste 7
Kenosha, WI 53143-5063

Mailing address

6530 Sheridan Rd Ste 7
Kenosha, WI 53143-5063
Phone (262) 455-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022000645 WI Part B Supplier - Clinic/Group Practice 6204324296 Receives reassigned benefits from 1 practitioner
Practice locations: Kenosha, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2299756Danacare LLC6530 Sheridan Rd Suite 7, Kenosha, WI 53143Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Locations

6530 Sheridan Rd
Ste 4
Kenosha, WI 53143

6530 Sheridan Rd
Ste 7
Kenosha, WI 53143
Phone (262) 286-1133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1326813825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 SHERIDAN RD STE 7",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435063",
            "telephone_number": "262-455-7047",
            "fax_number": "262-218-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SHERIDAN RD STE 7",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435063",
            "telephone_number": "262-455-7047",
            "fax_number": "262-218-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MEHRING",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-331-4389",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.