Individual provider Active NPI

Noelle Christine Muter, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashwaubenon, WI
National Provider Identifier
1457124281
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14331-33 Issued in WI
Practice address
1048 Glory Rd Ste a
Ashwaubenon, WI 54304-5664
Phone
(920) 238-8155
Fax
(920) 214-1259
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14331-33 WI Primary

Addresses

Primary practice location

1048 Glory Rd Ste a
Ashwaubenon, WI 54304-5664

Mailing address

2184 Potter Dr
De Pere, WI 54115-7732
Phone (920) 227-5038

Other practice location 1

444 Reid St Ste 303
DE Pere, WI 54115-2100
Phone (920) 238-8155

Other names 1

  • Noelle Christine Larson Former name

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
I20240207002221 WI Order and Referring Only - Nurse Practitioner 0547603409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Att Center LTD PastSince Nov 5, 2023 Accepting new patients
Bay Psychiatry of Wisconsin LLC Psychiatric/Mental Health PastSince Jun 15, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1457124281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 POTTER DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157732",
            "telephone_number": "920-227-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 GLORY RD STE A",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543045664",
            "telephone_number": "920-238-8155",
            "fax_number": "920-214-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Reid St Ste 303",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152100",
            "country_code": "US",
            "telephone_number": "920-238-8155",
            "fax_number": "920-214-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTER",
        "first_name": "NOELLE",
        "middle_name": "CHRISTINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14331-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "LARSON",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashwaubenon, WI

Sources for this page

Verify at the official NPI Registry.