Individual provider Active NPI

Talia McCabe

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomah, WI
National Provider Identifier
1326887407
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14954-33 Issued in WI
Practice address
22073 Glasgow Ave
Tomah, WI 54660-8162
Phone
(608) 451-2024
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14954-33 WI Primary

Addresses

Primary practice location

22073 Glasgow Ave
Tomah, WI 54660-8162

Mailing address

22073 Glasgow Ave
Tomah, WI 54660-8162
Phone (608) 451-2024

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
I20250521002274 WI Practitioner - Nurse Practitioner 5890214043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk CountyGroup PAC ID 7618931148, 13 clinicians

Practice addresses (Care Compare)

505 Broadway St
Baraboo, WI 53913-2183
Phone (608) 355-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sauk CurrentSince Apr 15, 2025 Accepting new patients
Sauk County Current Accepting new patients
Sauk County CurrentSince Apr 15, 2025 Accepting new patients

Locations

505 Broadway St
Baraboo, WI 53913
Phone (608) 355-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1326887407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22073 GLASGOW AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546608162",
            "telephone_number": "608-451-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22073 GLASGOW AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546608162",
            "telephone_number": "608-451-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "TALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14954-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

Verify at the official NPI Registry.