Miranda L Dooley, APNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15404-33 Issued in WI

Practice address

2001 S Central Ave Ste a
Marshfield, WI 54449-4973

Phone

(715) 384-2818

NPI assigned

Jun 3, 2024

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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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.

• Child & Adolescent Psychiatry Consulting LLC

  dba Empower Mental Health Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Marshfield, WI
  • NPI 1619225232
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1528809662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20315 SUTTER CREEK DR APT 419",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453957",
            "telephone_number": "414-581-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CENTRAL AVE STE A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494973",
            "telephone_number": "715-384-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15404-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Dietz, MD
• Ade R Dillon, MD
• Wesley William Dittman
• Matthew J Dombrowski, PA-C
• Heather Donald, M.S. CCC/SLP
• John We Douglas Jones, MD
• Drach Chiropractic Center, LLC
• Paul A Drach, D.C.
• Dragt Chiropractic LLC
• Randall L Dragt, DC

• Psychiatric/Mental Health Nurse Practitioner in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Psychiatric/Mental Health 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.