Aeron Rachel Adams, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · West Bend, WI
NPI 1477079242 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1477079242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 7837 (WI)
- Practice address
- 333 E Washington St Ste 2100
West Bend, WI 53095-2503 - Phone
- (262) 335-4600
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Outagamie
Washington County Wisconsin
Practice addresses (Care Compare)
320 S Walnut St
Appleton, WI 54911-5918
Phone (920) 832-1624
333 E Washington St
Suite 2100
West Bend, WI 53095-2503
Phone (262) 335-4545
Hospital & facility affiliations
- Thedacare Regional Med Ctr - Neenah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171016002333 | WI | Practitioner - Nurse Practitioner | 8325314545 | Reassigns benefits to 3 organizations |
| I20210105002191 | CA | Practitioner - Nurse Practitioner | 8325314545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7837 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Wisconsin | Current |
Accepting new patients | |
| County of Grant Dba Unified Community Services | Current |
Accepting new patients | |
| County of Outagamie | Current |
Accepting new patients | |
| County of Grant | Current |
Accepting new patients | |
| Bear Valley Community Health Care District | Current |
Accepting new patients | |
| County of Grant Dba Unified Community Services | Current | Accepting new patients |
Locations
320 S Walnut St
Appleton, WI 54911
Phone (920) 832-1624
1122 Professional Dr
Dodgeville, WI 53533
Phone (608) 935-2776
200 W Alona Ln
Lancaster, WI 53813
Phone (608) 723-6357
333 E Washington St
Ste 2100
West Bend, WI 53095
Phone (262) 335-4545
333 E Washington St
West Bend, WI 53095
Phone (262) 335-4583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7837 | WI | Yes |
Addresses
Primary practice location
333 E Washington St Ste 2100
West Bend, WI 53095-2503
Mailing address
333 E Washington St Ste 2100
West Bend, WI 53095-2503
Phone (262) 335-4600
Other practice location 1
320 S Walnut St.
Appleton, WI 54911-5918
Phone (920) 832-5270
Other providers in West Bend, WI
- A Simple Touch, LLC
- Nausheen Abbas
- Acadia Finishers LLC
- Accuquest Hearing Center, LLC
- Wendi Ann Achterberg
- Chanise Adams
- Adrc of Washington County
- Advanced Focus Eyecare LLC
- Advanced Pain Management SC
- Aegis Group Practice LLC
All providers in West Bend, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.