Individual provider Active NPI

Heidi Miess-Gladding, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Madison, WI
National Provider Identifier
1336683127
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
621333 Issued in WI
Practice address
700 S Park St
Madison, WI 53715-1830
Phone
(608) 258-6831
Fax
(608) 258-6340
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 115754030 WI
Critical Care Neonatal Nurse Practitioner 363LN0005X 621333 WI Primary

Addresses

Primary practice location

700 S Park St
Madison, WI 53715-1830

Mailing address

2187 Colladay Point Dr
Stoughton, WI 53589-3076
Phone (608) 334-1564

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
I20170125002991 WI Practitioner - Nurse Practitioner 4284916396 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115754030WIMDRegistered Nurse
621333WIMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert South, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Neonatal Resources of Wisconsin, Inc Past Accepting new patients

Locations

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581

Interoperability endpoints

  • Direct secure messaging: hmiessgladdingapnp211412@direct.froedtert.com

Organizations & group practices 6

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1336683127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 COLLADAY POINT DR",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893076",
            "telephone_number": "608-334-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-258-6831",
            "fax_number": "608-258-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESS-GLADDING",
        "first_name": "HEIDI",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "115754030",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "WI",
            "license": "621333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.