Bobbi Jo Kapla Bissonette, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5361-33 Issued in WI

Practice address

3144 Vanzile Road
Crandon, WI 54520-8149

Phone

(715) 478-5180

Fax

(715) 478-5904

NPI assigned

Jul 31, 2013

Last updated

Jun 11, 2021By 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 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bbissonette891662@direct.emplifyhealth.org
• Direct secure messaging: bobbijo.bissonette@schc.directbygreenway.com

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.

• Sokaogon Chippewa Community

  • Federally Qualified Health Center (FQHC)
  • Crandon, WI
  • NPI 1033115456
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1366874489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 VANZILE ROAD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 VANZILE ROAD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONETTE",
        "first_name": "BOBBI JO",
        "middle_name": "KAPLA",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5361-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031339",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
• Diane M Baird, LICENSED PROFESSIONA
• Jamie Dean Bauknecht, LPN
• William Dale Becker, O.D.
• Karen A Beimborn, MEDICINE SURGERY MD
• Nicholas Bolte
• Amy E Booher, APSW
• Richard Arthur Brandner, M.D.
• Laura Jean Connor, D.C.
• Elizabeth Anne Conway

• Family Nurse Practitioner in Crandon, WI
• Providers in Crandon, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.