Individual provider Active NPI

Megan Rae Herkstroeter, APNP

  • Nurse Practitioner
  • Neenah, WI
National Provider Identifier
1437956471
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1640633 Issued in WI
Practice address
1205 W American Dr
Neenah, WI 54956-1405
Phone
(920) 430-8113
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1640633 WI Primary

Addresses

Primary practice location

1205 W American Dr
Neenah, WI 54956-1405

Mailing address

2223 Lime Kiln Rd Ste 1
Green Bay, WI 54311-6238
Phone (920) 430-8113

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
I20250317001481 WI Practitioner - Nurse Practitioner 0446772768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1205 W American Dr
Neenah, WI 54956-1405
Phone (920) 430-8113

200 S Oakwood Rd
Oshkosh, WI 54904-7900
Phone (920) 430-8113

2223 Lime Kiln Rd
Suite 1
Green Bay, WI 54311-6238
Phone (920) 430-8113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1640633WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Specialists of Green Bay, SC CurrentSince May 1, 2025 Accepting new patients

Locations

2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246

1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144

2700 W 9th Ave
Ste 125
Oshkosh, WI 54904
Phone (800) 322-2141

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0cda6ed7-9e18-4112-ab11-d5a45a40c8d5/

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1437956471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 LIME KILN RD STE 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116238",
            "telephone_number": "920-430-8113",
            "fax_number": "920-430-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W AMERICAN DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561405",
            "telephone_number": "920-430-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKSTROETER",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1640633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.