Active NPI
Ellen Pitsch
- Nurse Practitioner
- Appleton, WI
National Provider Identifier
1396802823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 731
- Practice address
- 2809 N. Park Drive Lane
Appleton, WI 54911 - Phone
- (920) 380-4999
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 731 | WI | Primary |
Addresses
Primary practice location
2809 N. Park Drive Lane
Appleton, WI 54911
Mailing address
2809 N. Park Drive Lane
Appleton, WI 54911
Phone (920) 996-3298
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 731 | WI | MD | Physician Assistant |
Interoperability endpoints
- epitsch7816@direct.thedacare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1396802823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 N. PARK DRIVE LANE",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-996-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 N. PARK DRIVE LANE",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-380-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITSCH",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
- Manoj Kumar Pilla, MD
- Kayleigh Brooke Pingel
- Pinnacle Cataract and Laser Institute LLC
- Pinnacle Therapy Solutions LLC
- Sandra Marie Piotrowski
- Natirra L Plair-Holt
- Planned Parenthood of Wisconsin (Appleton Central)
- Jessica Plascencia, APSW
- Marcus Plascencia
- Plastic Surgery Contracting Associates, LLC (Appleton Plastic Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.