Individual provider Active NPI

Linda Poirier, RN FNPC APNP

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1477606242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
684 033 APNP Issued in WI
Practice address
130 So Barstow
1B
Eau Claire, WI 54701
Phone
(715) 832-9292
Fax
(715) 832-4172
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 684 033 APNP WI Primary
Nurse Practitioner 363L00000X 85943 030 NP WI

Addresses

Primary practice location

130 So Barstow
1B
Eau Claire, WI 54701

Mailing address

130 So Barstow
1B
Eau Claire, WI 54701
Phone (715) 832-9292

Other identifiers 1

IdentifierTypeStateIssuer
43898700MedicaidWI

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
I20060203000580 WI Practitioner - Nurse Practitioner 7315951894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
684 033 APNPWIMDNurse Practitioner
85943 030 NPWIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beechwood Therapy LLC CurrentSince Jun 12, 2022 Accepting new patients
Willow Creek Womens Clinic SC Nurse Practitioner CurrentSince Jun 1, 2007 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

1470 Rivers Edge Trl
Ste 3
Altoona, WI 54720
Phone (715) 832-9292

130 S Barstow St
Ste 1B
Eau Claire, WI 54701
Phone (715) 579-4424

1024 N Main St
Rice Lake, WI 54868
Phone (715) 234-7776

Interoperability endpoints

  • Direct secure messaging: willowcreekwomensclinic.lindapoirier@118358.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477606242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SO BARSTOW",
            "address_2": "1B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-832-9292",
            "fax_number": "715-832-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SO BARSTOW",
            "address_2": "1B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-832-9292",
            "fax_number": "715-832-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "LINDA",
        "credential": "RN FNPC APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "684 033 APNP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "85943 030 NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43898700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.