Individual provider Active NPI

Teresa Cramer-McDonald, NP,APNP

  • Family Nurse Practitioner
  • Fox Lake, WI
National Provider Identifier
1396103974
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79439-30 Issued in WI
Practice address
N9512 Hwy 33
Fox Lake, WI 53933-9442
Phone
(000) 000-0000
NPI assigned
Feb 10, 2016
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79439-30 WI Primary

Addresses

Primary practice location

N9512 Hwy 33
Fox Lake, WI 53933-9442

Mailing address

N9512 Hwy 33
Fox Lake, WI 53933-9442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcramermcdonald7697@direct.uwhealth.org

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
I20240403001494 WI Order and Referring Only - Nurse Practitioner 9537468723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79439-30WIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: enolander840212@direct.uwhealth.org
  • Direct secure messaging: tcramermcdonald7697@direct.uwhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1396103974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9512 HWY 33",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9512 HWY 33",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339442",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER-MCDONALD",
        "first_name": "TERESA",
        "credential": "NP,APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "79439-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcramermcdonald7697@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1050 E Broadway",
            "city": "Monona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537164023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fox Lake, WI

Sources for this page

Verify at the official NPI Registry.