Individual provider Active NPI

Martha Arwen Karlstad, M.D.

  • Psychiatry Physician
  • Viroqua, WI
National Provider Identifier
1457589954
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
62165 Issued in WI
Practice address
407 S Main St Ste 400
Viroqua, WI 54665
Phone
(608) 637-3174
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL31772 SC
Psychiatry Physician 2084P0800X 62165 WI Primary

Addresses

Primary practice location

407 S Main St Ste 400
Viroqua, WI 54665

Mailing address

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611002284 WI Practitioner - Psychiatry 2264656396 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL31772SCMDPsychiatry Physician
62165WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jul 14, 2014 Accepting new patients
Vernon Memorial Healthcare, Inc CurrentSince Jul 14, 2014 Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients

Locations

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-5203

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

100 Melby St
Westby, WI 54667
Phone (608) 634-3125

Interoperability endpoints

  • Direct secure messaging: mkarlstad88552@direct.emplifyhealth.org

Organizations & group practices 6

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vernon Memorial Healthcare Inc 73 clinicians

Practice addresses (Care Compare)

206 N Mill St
La Farge, WI 54639-6601
Phone (608) 625-2494

407 S Main St
Suite 400
Viroqua, WI 54665-4000
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

Hospital & facility affiliations

  • Vernon Memorial Hospital Hospital, Viroqua, WI, CCN 521348

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1457589954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-2101",
            "fax_number": "608-638-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST STE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "54665",
            "telephone_number": "608-637-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSTAD",
        "first_name": "MARTHA",
        "middle_name": "ARWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL31772",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "62165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

Verify at the official NPI Registry.