Active NPI
Barbara Rebekah Demares, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 9874
- Practice address
- 3169 Deming Way
Middleton, WI 53562-1435 - Phone
- (608) 716-8288
- NPI assigned
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9874 | WI | Primary |
Addresses
Primary practice location
3169 Deming Way
Middleton, WI 53562-1435
Mailing address
1134 Ridge Creek Cir Unit 101
Waukesha, WI 53186-4214
Phone (414) 758-0623
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9874 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Physician Practices LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Oak Medical SC | Psychiatric/Mental Health | Current | Accepting new patients |
| Watertown Physician Practices LLC | Current | Accepting new patients |
Locations
W173N10915 Bernies Way
Germantown, WI 53022
Phone (262) 509-3300
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672
N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Watertown, WI
- NPI 1760866891
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1336775170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 RIDGE CREEK CIR UNIT 101",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531864214",
"telephone_number": "414-758-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3169 DEMING WAY",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535621435",
"telephone_number": "608-716-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARES",
"first_name": "BARBARA",
"middle_name": "REBEKAH",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "9874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.