Individual provider Active NPI

Tanya Marie Simerl, DACM. L.AC.

  • Acupuncturist
  • Waukesha, WI
National Provider Identifier
1417788571
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2052-55 Issued in WI
Practice address
1428 E Racine Ave
Waukesha, WI 53186-6462
Phone
(808) 793-8284
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2052-55 WI Primary

Addresses

Primary practice location

1428 E Racine Ave
Waukesha, WI 53186-6462

Mailing address

6629 W Bluemound Rd Apt 11
Milwaukee, WI 53213-3974
Phone (808) 793-8284

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2052-55WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1417788571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6629 W BLUEMOUND RD APT 11",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532133974",
            "telephone_number": "808-793-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 E RACINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866462",
            "telephone_number": "808-793-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERL",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "credential": "DACM. L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "2052-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.