Individual provider Active NPI

Noelle Hebgen

  • Psychiatric/Mental Health Nurse Practitioner
  • Platteville, WI
National Provider Identifier
1497399208
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9725-33 Issued in WI
Practice address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone
(608) 348-2331
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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 9725-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9725-33 WI Primary

Addresses

Primary practice location

1450 Eastside Rd
Platteville, WI 53818-9800

Mailing address

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331

Other practice location 1

1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NHEBGEN266120@DIRECT-EHR-SSMHC.COM Direct Southwest Health Center, Inc

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
I20191216001204 WI Practitioner - Nurse Practitioner 8729412218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9725-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc CurrentSince Nov 5, 2019 Accepting new patients
Southwest Health Center, Inc. CurrentSince Nov 5, 2019 Accepting new patients

Locations

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: nhebgen266120@direct-ehr-ssmhc.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1497399208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538189800",
            "country_code": "US",
            "telephone_number": "608-348-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBGEN",
        "first_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9725-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "9725-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NHEBGEN266120@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "Southwest Health Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NHEBGEN266120@DIRECT-EHR-SSMHC.COM",
            "address_1": "1450 Eastside Rd",
            "city": "Platteville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538189800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.