Individual provider Active NPI

Sharesea Busser

  • Nurse Practitioner
  • Sheboygan, WI
National Provider Identifier
1356813661
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8551-33 Issued in WI
Practice address
1221 N 26TH St
Sheboygan, WI 53081-3111
Phone
(920) 453-3900
NPI assigned
Dec 27, 2018
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8551-33 WI Primary

Addresses

Primary practice location

1221 N 26TH St
Sheboygan, WI 53081-3111

Mailing address

1221 N 26TH St
Sheboygan, WI 53081-3111
Phone (920) 453-3900

Other practice location 1

1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone (608) 524-6477

Other identifiers 1

IdentifierTypeStateIssuer
100084374MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbusser348467@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114003269 WI Practitioner - Nurse Practitioner 1658617543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Area Medical Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients

Locations

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1356813661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N 26TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813111",
            "telephone_number": "920-453-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N 26TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813111",
            "telephone_number": "920-453-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Reedsburg",
            "state": "WI",
            "postal_code": "539592214",
            "country_code": "US",
            "telephone_number": "608-524-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSER",
        "first_name": "SHARESEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8551-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084374",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbusser348467@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 N 26th St",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1221 N 26th St",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.