Active NPI
Connie M Gehl
- Registered Nurse
- New Holstein, WI
National Provider Identifier
1528272879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- 1610 Hoover St
New Holstein, WI 53061-1636 - Phone
- (920) 898-5627
- NPI assigned
- May 9, 2007
- Last updated
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 806-019 | WI | |
| Registered Nurse | 163W00000X | WI | Primary |
Addresses
Primary practice location
1610 Hoover St
New Holstein, WI 53061-1636
Mailing address
W4206 US Highway 151
Chilton, WI 53014-9658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36111700 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147902-030 | WI | MD | Registered Nurse |
| 806-019 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RG-Rhinelander, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rennes Health & Rehab Center - Rhinelander
- Skilled Nursing Facility
- Rhinelander, WI
- NPI 1407164312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1528272879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4206 US HIGHWAY 151",
"city": "CHILTON",
"state": "WI",
"postal_code": "530149658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 HOOVER ST",
"city": "NEW HOLSTEIN",
"state": "WI",
"postal_code": "530611636",
"telephone_number": "920-898-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHL",
"first_name": "CONNIE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "806-019",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Holstein, WI
- Meghan R Driessen, PTA
- Hany M Elewa, DC PHD NCEA DIP
- Extendicare Health Facilities, Inc. (Willowdale Nursing & Rehabilitation Center)
- Eye Care Center of New Holstein, LLC
- FMG Hoover Street Wisconsin LLC (Willowdale Nursing & Rehabilitation Center)
- Mary Ann Halbach, COTA
- Amber Heimermann, PTA
- Homestead Care Center LLC (Atrium Post Acute Care of New Holstein)
- Megan Joyce Koehler, RN
- Heather Kooiman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.