Individual provider Active NPI

Anneliese Kay Wilhelm, APNP

  • Family Nurse Practitioner
  • La Crosse, WI
National Provider Identifier
1417386871
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5565 Issued in WI
Practice address
230 Pine St
La Crosse, WI 54601-3481
Phone
(608) 668-2103
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5565 WI
Family Nurse Practitioner 363LF0000X 5565 WI Primary

Addresses

Primary practice location

230 Pine St
La Crosse, WI 54601-3481

Mailing address

230 Pine St
La Crosse, WI 54601-3481
Phone (608) 668-2103

Other names 1

  • Anneliese Kay Bauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 27, 2024 through Dec 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5565WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Viaro LLC General Practice CurrentSince Jan 1, 2023 Accepting new patients

Locations

333 Front St N
La Crosse, WI 54601
Phone (608) 519-4452

230 Pine St
La Crosse, WI 54601
Phone (608) 668-2103

Interoperability endpoints

  • Direct secure messaging: anneliese.wilhelm.1@29082.direct.athenahealth.com

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1417386871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PINE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013481",
            "telephone_number": "608-668-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PINE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013481",
            "telephone_number": "608-668-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "ANNELIESE",
        "middle_name": "KAY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "5565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELIESE",
            "last_name": "BAUER",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.