Individual provider Active NPI

Colleen Marie Worth, DNP, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
National Provider Identifier
1417247040
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5895-33 Issued in WI
Practice address
140 North Ave
Hartland, WI 53029-1716
Phone
(920) 944-8474
NPI assigned
Apr 16, 2011
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5895-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5895-33 WI Primary

Addresses

Primary practice location

140 North Ave
Hartland, WI 53029-1716

Mailing address

140 North Ave
Hartland, WI 53029-1716
Phone (920) 944-8474

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
I20150527002833 WI Practitioner - Nurse Practitioner 4385863174 Reassigns benefits to 2 organizations
Practice locations: Hartland, WI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alarus Healthcare LLCGroup PAC ID 8022231026, 11 clinicians
Slainte ClinicGroup PAC ID 6507203296, 2 clinicians

Practice addresses (Care Compare)

1971 Washington St
Suite 200
Grafton, WI 53024-2125
Phone (262) 377-6276

555 S Industrial Dr
Suite 1
Hartland, WI 53029-2333
Phone (920) 944-8474

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alarus Healthcare, LLC CurrentSince Nov 2, 2022 Accepting new patients
Slainte Clinic Family CurrentSince Feb 1, 2024 Accepting new patients
Alarus Home Health LLC PastSince Nov 2, 2022 Accepting new patients

Locations

111 Warren St
Ste 2
Beaver Dam, WI 53916
Phone (920) 216-4440

1971 Washington St
Ste 200
Grafton, WI 53024
Phone (262) 377-6276

140 North Ave
Hartland, WI 53029
Phone (920) 944-8474

555 S Industrial Dr
Ste 1
Hartland, WI 53029
Phone (262) 367-7010

1622 Chestnut St
West Bend, WI 53095
Phone (262) 306-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1417247040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTH AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291716",
            "telephone_number": "920-944-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NORTH AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291716",
            "telephone_number": "920-944-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5895-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5895-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

Verify at the official NPI Registry.