Edward Newton, APNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

169202 Issued in WI

Practice address

3120 Schneider Ave SE
Suite 3
Menomonie, WI 54751-2591

Phone

(715) 233-3890

Fax

(715) 838-2910

NPI assigned

Dec 7, 2009

Last updated

Apr 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1417285206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-2720",
            "fax_number": "612-904-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SCHNEIDER AVE SE",
            "address_2": "SUITE 3",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512591",
            "telephone_number": "715-233-3890",
            "fax_number": "715-838-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "EDWARD",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "169202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Ndafooka, PMHNP
• Lynnae Nehring, COTA
• Rachael Lynn Nellessen
• Carrie Jo Nelson, M.D.
• Justin Nelson, LAT
• Stephanie T Nicolet, MS,MFT
• Karlye K. Nieman, SAC
• Orissa Nitibhon, DMD
• Robert M Norby, DDS
• Kelly Lynn Shanley Nordstrom, PHARMD

• Gerontology Nurse Practitioner in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.