Eydie A Farrow, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1707-33 Issued in WI

Practice address

113 4TH Avenue
Shell Lake, WI 54871

Phone

(715) 468-7833

Fax

(715) 468-7839

NPI assigned

Jul 11, 2005

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

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

Indianhead Medical Center Shell Lake, Inc.Group PAC ID 6406748839, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hearts of Gold Home health agency, Shell Lake, WI, CCN 527252
• Indianhead Medical Ctr Hospital, Shell Lake, WI, CCN 521342
• Spooner Health System Hospital, Spooner, WI, CCN 521332

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Indianhead Medical Center Shell Lake, Inc.

  dba Indianhead Medical Center

  • Primary Care Clinic/Center
  • Siren, WI
  • NPI 1053859058
  Medicare reassignment Care Compare group NPD
• Indianhead Medical Center Shell Lake, Inc

  • Critical Access Hospital
  • Shell Lake, WI
  • NPI 1568438125
  NPD
• Indianhead Medical Center Shell Lake Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Shell Lake, WI
  • NPI 1871500769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hearts of Gold, Inc

  • Home Health Agency
  • Shell Lake, WI
  • NPI 1770585036
  Care Compare affiliation
• Indianhead Medical Center Shell Lake, Inc

  • Critical Access Hospital
  • Shell Lake, WI
  • NPI 1568438125
  Care Compare affiliation
• Spooner Health System, Inc.

  • Critical Access Hospital
  • Spooner, WI
  • NPI 1518982628
  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1487652772",
    "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": "FARROW",
        "first_name": "EYDIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1707-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4390900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dahlstroms Inc (lakeside market)
• Edward Robert Dunbar, DDS
• Jeffrey Lemoine Dunham, MD
• Alexander Jerrold Eggen, DPT
• Cathy Marie Ekern, LPC MA
• Kenneth Joe Garrison, M.D.
• Merri Ann Gonzalez
• Amy Janine Grandadam, RN
• Greenfield PT Comp LLC
• Allan Jay Haesemeyer, MD

• Family Nurse Practitioner in Shell Lake, WI
• Providers in Shell Lake, 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 Jun 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.