Individual provider Active NPI

Kristine Ann Bohrmueller, ARNP

  • Nurse Practitioner
  • Janesville, WI
National Provider Identifier
1386945558
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4550 Issued in WI
Practice address
7527 W Mineral Point Rd
Janesville, WI 53548-8652
Phone
(888) 708-0561
Fax
(404) 585-2688
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10508 AZ
Nurse Practitioner 363L00000X AP60191449 WA
Nurse Practitioner 363L00000X F421572-01 NY
Nurse Practitioner 363L00000X 0003823 CO
Nurse Practitioner 363L00000X F170074 IA
Nurse Practitioner 363L00000X 209-010404 IL
Nurse Practitioner 363L00000X 4550 WI Primary

Addresses

Primary practice location

7527 W Mineral Point Rd
Janesville, WI 53548-8652

Mailing address

PO Box 1567
Rockford, IL 61110-0067

Other practice location 1

302 N Jackson St
Milwaukee, WI 53202
Phone (414) 289-3738

Other practice location 2

209 9th St
Suite 200
Rockford, IL 61104-2235
Phone (779) 696-2750

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

State licenses

LicenseStateTypeSpecialty
AP10508AZMDNurse Practitioner
0003823COMDNurse Practitioner
F170074IAMDNurse Practitioner
209-010404ILMDNurse Practitioner
F421572-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1386945558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 W MINERAL POINT RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535488652",
            "telephone_number": "888-708-0561",
            "fax_number": "404-585-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53202",
            "country_code": "US",
            "telephone_number": "414-289-3738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 9th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042235",
            "country_code": "US",
            "telephone_number": "779-696-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRMUELLER",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10508",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60191449",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F421572-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0003823",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "F170074",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-010404",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.