Active NPI
Teri S. Gjerseth, CNM, APNP, FNP-C
- Family Nurse Practitioner
- Tomah, WI
National Provider Identifier
1538484407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4404-33
- Practice address
- 505 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (608) 372-4111
- NPI assigned
- Apr 2, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4404-33 | WI | Primary |
| Advanced Practice Midwife | 367A00000X | NM148848-032 | WI |
Addresses
Primary practice location
505 Gopher Dr
Tomah, WI 54660-4513
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 1
3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538484407 | Medicaid | WI | |
| 4404-33 | Other | WI | ADVANCE PRACTICE NURSE PRESCRIBER |
| B129556 | Other | IA | ADVANCED REGISTERED NURSE PRACTITIONER |
| CNM0142 | Other | AMERICAN MIDWIFERY CERTIFICATION BOARD | |
| 148848-032 | Other | WI | CERTIFIED NURSE MIDWIFE |
| 1538484407 | Other | WI | NPI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgjerseth118028@ewd.direct.hshs.org | Direct | |
| Direct Messaging Address | tgjerseth815620@direct.gundersenhealth.org | Direct |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM148848-032 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
Interoperability endpoints
- tgjerseth815620@direct.emplifyhealth.org
- tgjerseth815620@direct.gundersenhealth.org
Organizations & group practices 4
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.
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- Clinic/Center
- Calmar, IA
- NPI 1306890959
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emplify Health La Crosse Hospital
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
dba Emplify Health Pediatric Mobile Unit
- Clinic/Center
- La Crosse, WI
- NPI 1790646719
Hospital
-
dba Emplify Health Onalaska Clinic
- Clinic/Center
- Onalaska, WI
- NPI 1225372923
Hospital
-
dba Emplify Health East Building
- Clinic/Center
- La Crosse, WI
- NPI 1497090138
Hospital
-
dba Emplify Health Onalaska Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
-
dba Emplify Health
- Air Ambulance
- La Crosse, WI
- NPI 1467468173
Hospital
-
dba Emplify Health Winona Campus
- Clinic/Center
- Winona, MN
- NPI 1952959603
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1538484407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-372-4111"
}
],
"practiceLocations": [
{
"address_1": "3213 Stein Blvd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016946",
"country_code": "US",
"telephone_number": "715-836-9242",
"fax_number": "715-284-2008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GJERSETH",
"first_name": "TERI",
"middle_name": "S.",
"credential": "CNM, APNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-02",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4404-33",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "NM148848-032",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538484407",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCE PRACTICE NURSE PRESCRIBER",
"identifier": "4404-33",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED REGISTERED NURSE PRACTITIONER",
"identifier": "B129556",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN MIDWIFERY CERTIFICATION BOARD",
"identifier": "CNM0142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE MIDWIFE",
"identifier": "148848-032",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1538484407",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgjerseth118028@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3213 Stein Blvd",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547016946",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgjerseth815620@direct.gundersenhealth.org",
"affiliation": "N",
"endpointDescription": "DIRECT MESSAGING ADDRESS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMAIL",
"address_1": "505 Gopher Dr",
"city": "Tomah",
"state": "WI",
"country_code": "US",
"postal_code": "546604513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.