Active NPI
Colten Peter Thewis, FNP
- Family Nurse Practitioner
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11927-33
- Practice address
- 1615 Maple LN
Ashland, WI 54806-3689 - Phone
- (715) 685-5500
- NPI assigned
- Apr 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11927-33 | WI | Primary |
Addresses
Primary practice location
1615 Maple LN
Ashland, WI 54806-3689
Mailing address
1615 Maple LN
Ashland, WI 54806-3689
Phone (715) 685-5240
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11040 N State Rd
Suite 77
Hayward, WI 54843
1615 Maple LN
Ashland, WI 54806-3626
1615 Maple LN
Ashland, WI 54806-3689
Hospital & facility affiliations
- Tamarack Health Ashland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.19 of 100
- Quality
- 74.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11927 | WI | MD | Interpreter |
| 11927-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients |
Locations
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1457096810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063689",
"telephone_number": "715-685-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063689",
"telephone_number": "715-685-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEWIS",
"first_name": "COLTEN",
"middle_name": "PETER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-30",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "11927-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.