Charlie James Aschenbach, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1108435-30 Issued in WI

Practice address

N4673 Mayflower Rd
Black Creek, WI 54106-8025

Phone

(920) 757-5716

NPI assigned

Feb 5, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1346054863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CRYSTAL COVE TRL UNIT 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114298",
            "telephone_number": "920-316-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4673 MAYFLOWER RD",
            "city": "BLACK CREEK",
            "state": "WI",
            "postal_code": "541068025",
            "telephone_number": "920-757-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHENBACH",
        "first_name": "CHARLIE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "1108435-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Creek Chiropractic Office LLC
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• Black Creek Rescue Service
• Traci Rae Bloedorn, ARCB
• Community Eyecare Inc

• Home Health Registered Nurse in Black Creek, WI
• Providers in Black Creek, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.