Individual provider Active NPI

Mary J Klade, RN

  • School Registered Nurse
  • Merrill, WI
National Provider Identifier
1376471078
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
98149-30 Issued in WI
Practice address
1201 N Sales St
Merrill, WI 54452-3171
Phone
(715) 536-6101
Fax
(715) 536-1788
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 98149-30 WI Primary

Addresses

Primary practice location

1201 N Sales St
Merrill, WI 54452-3171

Mailing address

W6272 Forest Dr
Merrill, WI 54452-8705
Phone (715) 218-5246

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
98149-30WIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1376471078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6272 FOREST DR",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544528705",
            "telephone_number": "715-218-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N SALES ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523171",
            "telephone_number": "715-536-6101",
            "fax_number": "715-536-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLADE",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "98149-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.