NPIMap

Individual provider Active NPI

Michele Ann Laduron, APNP

  • Family Nurse Practitioner
  • Gillett, WI
National Provider Identifier
1477540888
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1075-033 Issued in WI
Practice address
340 N Green Bay Ave
Suite 1
Gillett, WI 54124-9325
Phone
(920) 855-2823
Fax
(920) 855-6343
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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 1075-033 WI Primary

Addresses

Primary practice location

340 N Green Bay Ave
Suite 1
Gillett, WI 54124-9325

Mailing address

340 N Green Bay Ave
Gillett, WI 54124-9325
Phone (920) 855-2823

Other identifiers 4

IdentifierTypeStateIssuer
390848401050OtherWICMH ANTHEM
11014110MedicaidWI
1851477913OtherWICMH NPI
1134250905OtherWIGPCC NPI

Other names 1

  • Michele Ann Muehlberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075WIMDAudiologist
1075-033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital, Incorporated Past Accepting new patients
Community Memorial Hospital, Incorporated Past Accepting new patients
St Clare Memorial Hospital, Inc Past Accepting new patients
Community Memorial Hospital Past Accepting new patients
St Clare Memorial Hospital, Inc Past Accepting new patients
Community Memorial Hospital, Incorporated Past Accepting new patients
St Clare Memorial Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://eprescribe.sanfordhealth.org/FHIR/api/FHIR/R4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1477540888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N GREEN BAY AVE",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "541249325",
            "telephone_number": "920-855-2823",
            "fax_number": "920-855-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N GREEN BAY AVE",
            "address_2": "SUITE 1",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "541249325",
            "telephone_number": "920-855-2823",
            "fax_number": "920-855-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADURON",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1075-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMH ANTHEM",
            "identifier": "390848401050",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11014110",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMH NPI",
            "identifier": "1851477913",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GPCC NPI",
            "identifier": "1134250905",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MUEHLBERGER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gillett, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.