Christa B Pierce

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5058-33 Issued in WI

Practice address

1910 County Road NN
Elkhorn, WI 53121-4454

Phone

(262) 741-3200

Fax

(262) 741-3217

NPI assigned

Oct 1, 2012

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Christa B Bieniosek Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment NPD
• SBH-Green Bay LLC

  dba Willow Creek Behavioral Health

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1922556778
  Medicare reassignment NPD
• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871
  Medicare reassignment NPD
• Thedacare, Incorporated

  dba ThedaCare Physicians

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Mercy Health System Corporation

  dba Mercy Hospital Janesville

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD
• 16TH Street Community Health Center Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1518602796
  NPD (past)
• 16TH Street Community Health Center Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1568104248
  NPD (past)
• 16TH Street Community Health Center Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1710621537
  NPD (past)
• 16TH Street Community Health Center Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1750026449
  NPD (past)
• Sixteen Street Community Health Center

  dba Waukesha Community Health Center

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1801229653
  NPD (past)
• Sixteenth Street Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1083352280
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1346591286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 COUNTY ROAD NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214454",
            "telephone_number": "262-741-3200",
            "fax_number": "262-741-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CHRISTA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5058-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5058-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "155410-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "BIENIOSEK",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger Dwight Petersen, M.D.
• Clayton Richard Peterson, LCSW
• Valerian Mark Peterson, MD
• Harrison R Pham
• Physical Therapy & Sports Rehabilitation, LLC
• Michele Barnard Pindyck, DMD
• Beth Piotter, PT
• Amanda J Pipp, PA-C
• Joyce Placzkowski, SAC-IT
• Sarah Pohl-Armour

• Nurse Practitioner in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.