Active NPI
Emily Marie Weiss, RN, APNP
- Family Nurse Practitioner
- Mazomanie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4496-33
- Practice address
- 506 Crocker St Ste 3
Mazomanie, WI 53560-9426 - Phone
- (608) 795-4110
- NPI assigned
- Aug 10, 2011
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4496-33 | WI | Primary |
Addresses
Primary practice location
506 Crocker St Ste 3
Mazomanie, WI 53560-9426
Mailing address
PO Box 160
Prairie Du Sac, WI 53578-0160
Phone (608) 643-3311
Other practice location 1
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 745-4598
Other practice location 2
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 745-4598
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | saukprairie@directclinics.saukprairiehealthcare.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 Crocker St
Suite 3
Mazomanie, WI 53560-9426
Phone (608) 795-4110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Surgical Associates | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296
506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110
825 Main St
Plain, WI 53577
Phone (608) 546-4211
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502
Interoperability endpoints
- emily.weiss@direct.saukprairiehealthcare.org
- eweiss841870@direct.unitypoint.org
- https://api.platform.athenahealth.com/9971/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Certified Registered Nurse Anesthetist
- Prairie Du Sac, WI
- NPI 1396884474
-
dba Prairie Clinic
- Family Medicine Physician
- Sauk City, WI
- NPI 1235163494
-
- Surgery Physician
- Prairie Du Sac, WI
- NPI 1972942019
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Family Medicine Physician
- Spring Green, WI
- NPI 1609841568
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1336428200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535780160",
"telephone_number": "608-643-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 CROCKER ST STE 3",
"city": "MAZOMANIE",
"state": "WI",
"postal_code": "535609426",
"telephone_number": "608-795-4110"
}
],
"practiceLocations": [
{
"address_1": "2817 New Pinery Rd",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539019240",
"country_code": "US",
"telephone_number": "608-745-4598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2817 New Pinery Rd",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539019240",
"country_code": "US",
"telephone_number": "608-745-4598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "RN, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4496-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "saukprairie@directclinics.saukprairiehealthcare.org",
"affiliation": "N",
"address_1": "506 Crocker St Ste 3",
"city": "Mazomanie",
"state": "WI",
"country_code": "US",
"postal_code": "535609426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mazomanie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.