Active NPI
Peggy L Keuler, NP
- Nurse Practitioner
- Waupun, WI
National Provider Identifier
1346224029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2170
- Practice address
- 1 W Lincoln St
Waupun, WI 53963-1949 - Phone
- (920) 324-5577
- NPI assigned
- Dec 6, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2170 | WI | Primary |
Addresses
Primary practice location
1 W Lincoln St
Waupun, WI 53963-1949
Mailing address
6511 Aspen Dr
Sobieski, WI 54171-9667
Phone (920) 822-8106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2170 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Past | Accepting new patients | |
| Preferred Podiatry Group PC | Past | Accepting new patients | |
| Agnesian Healthcare Inc | Past | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
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.
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba Bellin Health Heart and Vascular Oconto
- Cardiovascular Disease Physician
- Oconto, WI
- NPI 1699926964
-
- Podiatrist
- Oak Harbor, WA
- NPI 1720037138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346224029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 ASPEN DR",
"city": "SOBIESKI",
"state": "WI",
"postal_code": "541719667",
"telephone_number": "920-822-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W LINCOLN ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631949",
"telephone_number": "920-324-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEULER",
"first_name": "PEGGY",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.