Individual provider Active NPI

Chanrachna Ladin, FNP

  • Family Nurse Practitioner
  • Altoona, WI
National Provider Identifier
1457707572
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11262 Issued in WI
Practice address
3119 Woodman Dr
Altoona, WI 54720-2668
Phone
(888) 277-3832
NPI assigned
May 7, 2016
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.016111 IL
Family Nurse Practitioner 363LF0000X SP022128 PA
Family Nurse Practitioner 363LF0000X 11262 WI Primary
Family Nurse Practitioner 363LF0000X 2016015966 MO

Addresses

Primary practice location

3119 Woodman Dr
Altoona, WI 54720-2668

Mailing address

12961 27TH Ave
Chippewa Falls, WI 54729-5699
Phone (715) 738-3700

Other practice location 1

12961 27th Ave
Chippewa Falls, WI 54729-5699
Phone (715) 738-3700

Other names 1

  • Chanrachna Thai Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MI, OH, NY, IN, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170913000087 IL Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 2 organizations
I20211103000418 WI Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 9 organizations
I20221026000725 MI Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 2 organizations
I20230202002311 OH Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 1 organization
I20230425000521 NY Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 1 organization
I20230507000051 IN Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 1 organization
I20240716003371 PA Practitioner - Nurse Practitioner 2668764697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1 White Springs Rd
Suite D
Geneva, NY 14456-3015
Phone (315) 230-4074

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

12961 27TH Ave
Chippewa Falls, WI 54729-5699
Phone (715) 738-3700

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

200 E State St
Herkimer, NY 13350-2335
Phone (315) 619-3043

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

3501 Golf Rd
Eau Claire, WI 54701-8028
Phone (715) 858-4200

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016111ILMDNurse Practitioner
11262WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 30, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 30, 2025 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 16, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 30, 2025 Accepting new patients
Prevea Clinic, Inc. Current Accepting new patients
Memorial Hospital Inc CurrentSince Jun 30, 2025 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Jun 30, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 30, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 30, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 28, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 28, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Pic Indiana PC CurrentSince Apr 26, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 30, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 30, 2025 Accepting new patients
Wellnow Urgent Care Practice, PC PastSince Aug 24, 2024 Accepting new patients
Mercy Clinic-Springfield Communities Family PastSince Jun 20, 2016 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Ny Primary Care Practice, PC Past Accepting new patients

Locations (25 of 27)

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

12961 27th Ave
Chippewa Fls, WI 54729
Phone (715) 738-3700

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1457707572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12961 27TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295699",
            "telephone_number": "715-738-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 WOODMAN DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202668",
            "telephone_number": "888-277-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12961 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295699",
            "country_code": "US",
            "telephone_number": "715-738-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADIN",
        "first_name": "CHANRACHNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.016111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11262",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016015966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "12961 27th Ave",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547295699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHANRACHNA",
            "last_name": "THAI",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.