Individual provider Active NPI

Terry Lynn Weinert, APRN

  • Family Nurse Practitioner
  • Shell Lake, WI
National Provider Identifier
1467965988
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8134-33 Issued in WI
Practice address
113 4TH Avenue
Shell Lake, WI 54871
Phone
(715) 468-7833
Fax
(715) 468-7839
NPI assigned
Nov 6, 2017
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8134-33 WI Primary

Addresses

Primary practice location

113 4TH Avenue
Shell Lake, WI 54871

Mailing address

113 4TH Avenue
Shell Lake, WI 54871
Phone (715) 468-7833

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
I20180103001016 WI Practitioner - Nurse Practitioner 0143588780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

112 Ash St
Suite a
Spooner, WI 54801-1487
Phone (715) 635-3979

24670 State Rd
70 Suite 100
Siren, WI 54872-4419
Phone (715) 349-2910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8134-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indianhead Medical Center Shell Lake, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Indianhead Medical Center Shell Lake, Inc CurrentSince Jan 1, 2018 Accepting new patients
Indianhead Medical Center Shell Lake Inc Past Accepting new patients

Locations

105 4th Ave
Shell Lake, WI 54871
Phone (715) 468-2711

113 4th Ave
Shell Lake, WI 54871
Phone (715) 468-7833

24670 State Road 35 70
Ste 100
Siren, WI 54872
Phone (715) 349-2910

7728 Main St
Siren, WI 54872
Phone (715) 349-2910

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1467965988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 4TH AVENUE",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "54871",
            "telephone_number": "715-468-7833",
            "fax_number": "715-468-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 4TH AVENUE",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "54871",
            "telephone_number": "715-468-7833",
            "fax_number": "715-468-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINERT",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8134-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shell Lake, WI

Sources for this page

Verify at the official NPI Registry.