Teresa M Pulvermacher, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4305 Issued in WI

Practice address

230 Pine St
La Crosse, WI 54601-3481

Phone

(608) 668-2103

Fax

(833) 997-3923

NPI assigned

May 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpulvermacher57318@direct.gundersenhealth.org
• Direct secure messaging: teresa.pulvermacher.1@29082.direct.athenahealth.com

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.

• Viaro Professional Arts LTD Health Care

  • General Practice Physician
  • La Crosse, WI
  • NPI 1669199907
  Medicare reassignment NPD

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1528350451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRONT ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013220",
            "telephone_number": "608-668-2103",
            "fax_number": "833-997-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PINE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013481",
            "telephone_number": "608-668-2103",
            "fax_number": "833-997-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULVERMACHER",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4305-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4305",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "116838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen M Puent, MSW, APSW
• Karina Puent, MA
• Bruce A Pulkkila, CADC
• Daniel W Puls, OD
• Jessica Puls, O.D
• Gregory T Pupillo, MD
• Kathryn Purgill
• Cathy Qin, OD
• Cindy Ann Quade, BSN
• Abbigayle Terese Quaintance

• Nurse Practitioner in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.