Individual provider Active NPI

Michelle M Masters, APNP

  • Family Nurse Practitioner
  • Tomah, WI
National Provider Identifier
1538261367
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2918 Issued in WI
Practice address
501 Gopher Dr
Tomah, WI 54660-4513
Phone
(608) 372-2181
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2918 WI Primary

Addresses

Primary practice location

501 Gopher Dr
Tomah, WI 54660-4513

Mailing address

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

Other names 1

  • Michelle M Loeffler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmasters10788@direct.monroeclinic.org Direct Tomah Memorial Hospital 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
I20061027000050 WI Practitioner - Nurse Practitioner 3072510460 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2918WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Dec 17, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Dec 17, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 13, 2015 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Dec 17, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Gundersen Clinic LTD CurrentSince Dec 17, 2020 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 1, 2013 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 1, 2013 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

310 W Main St
Sparta, WI 54656
Phone (608) 269-1700

321 Butts Ave
Tomah, WI 54660
Phone (608) 372-2181

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

601 Straw St
Tomah, WI 54660
Phone (608) 372-2181

1330 N Superior Ave
Tomah, WI 54660
Phone (608) 372-4111

101 Unity Dr
Warrens, WI 54666
Phone (608) 372-2181

Interoperability endpoints

  • Direct secure messaging: mmasters484073@direct.emplifyhealth.org
  • Direct secure messaging: mmasters827788@direct.emplifyhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1538261367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOPHER DR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-372-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOPHER DR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-372-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmasters10788@direct.monroeclinic.org",
            "affiliation": "Y",
            "affiliationName": "Tomah Memorial Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mmasters10788@direct.monroeclinic.org",
            "address_1": "501 Gopher Dr",
            "city": "Tomah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546604513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LOEFFLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

Verify at the official NPI Registry.