Susan E. Mertely, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

159913-30 Issued in WI

Practice address

322 Dewitt St
Portage, WI 53901-2114

Phone

(608) 745-9292

Fax

(608) 745-9293

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Journey Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Portage, WI
  • NPI 1497207054
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1336683580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227",
            "telephone_number": "608-745-9292",
            "fax_number": "608-745-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 DEWITT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012114",
            "telephone_number": "608-745-9292",
            "fax_number": "608-745-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTELY",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "159913-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Mae McCurdy, SAC
• Sydney C McDonaldd, MSW
• Chelsey M Medsker, ABOC, NCLEC
• Claire Meixelsperger, OTR
• Alexander B Mentzel, MS, LPC-IT
• Julie Kay Metzler
• MH Health Care Services, PC
• Midstate Medical Express
• Cheryl Millard, LCSW
• Jocelyn R Miller, PHD

• Registered Nurse in Portage, WI
• Providers in Portage, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.