Kristen S Rodeheaver, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1046-33 Issued in WI

Practice address

11040 N State Rd 77
Hayward, WI 54843-3606

Phone

(715) 934-4321

Fax

(715) 934-4273

NPI assigned

Jul 26, 2006

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kristen S Sipple Former name

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Services, IncGroup PAC ID 9436061363, 32 clinicians

Green Bay Emergency Medicine Services SCGroup PAC ID 9335170083, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tamarack Health Hayward Medical Center Hospital, Hayward, WI, CCN 521336
• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Merit-based Incentive Payment System (MIPS)

Final score

93.05 of 100Reported as group

Quality

87.37

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Green Bay Emergency Medicine Services S.C.

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1366424111
  Medicare reassignment Care Compare group NPD
• Medical Services, Inc

  dba Tamarack Health Hayward Medical Center

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Medicare reassignment Care Compare group NPD
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Medical Center

  • Critical Access Hospital
  • Ashland, WI
  • NPI 1437179231
  Medicare reassignment NPD
• Medical Services, Inc

  dba Clinic Services of Hayward Area Memorial Hospital

  • Rural Health Clinic/Center
  • Hayward, WI
  • NPI 1386316537
  NPD
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Clinic

  • Rural Health Clinic/Center
  • Ashland, WI
  • NPI 1770255937
  NPD
• Cardiology Associates of Green Bay, LTD

  • Cardiovascular Disease Physician
  • Green Bay, WI
  • NPI 1396824074
  NPD (past)
• Prevea Regional Services, Inc.

  dba Prevea Regional

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1194748061
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation
• Medical Services, Inc

  dba Tamarack Health Hayward Medical Center

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1437173127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE RD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE RD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEHEAVER",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1046-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "105507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43912000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SIPPLE",
            "middle_name": "S",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Hayward, WI
• Providers in Hayward, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.