Holly Gale Dekiep, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7616-33 Issued in WI

Practice address

W5262 Road Lake Rd
Tomahawk, WI 54487-8614

Phone

(715) 612-0803

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WI

  Medicare reassignment

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1467985697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5262 ROAD LAKE RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544878614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5262 ROAD LAKE RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544878614",
            "telephone_number": "715-612-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKIEP",
        "first_name": "HOLLY",
        "middle_name": "GALE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7616-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Coffen, OPTICIAN
• Cooperative Educational Service Agency No. 9
• Jane Cortte, R.N.
• Ronald Cortte, MD
• Dean R. Hussong, DDS, SC
• Eric D Dichsen, MD
• Eileen A Emond, SLP
• Empowerme Rehabilitation, LLC
• Casandra Jean Fleischman, M.S.
• Jayne Lynn Fox, PT

• Family Nurse Practitioner in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.