NPIMap

Individual provider Active NPI

Christine Marie Wiese, APNP

  • Family Nurse Practitioner
  • Waunakee, WI
National Provider Identifier
1538615042
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7199 Issued in WI
Practice address
6729 Patton Rd
Waunakee, WI 53597-9785
Phone
(608) 843-4179
NPI assigned
Aug 26, 2016
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60793192 WA
Family Nurse Practitioner 363LF0000X 7199 WI Primary

Addresses

Primary practice location

6729 Patton Rd
Waunakee, WI 53597-9785

Mailing address

6729 Patton Rd
Waunakee, WI 53597-9785
Phone (608) 843-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171030003073 WA Practitioner - Nurse Practitioner 8921386004 Reassigns benefits to 2 organizations
I20220131002478 OR Practitioner - Nurse Practitioner 8921386004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60793192WAMDNurse Practitioner
7199WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Internist Group PLLC CurrentSince Dec 31, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Nurse Practitioner Current Accepting new patients
Cogent Healthcare of Washington, PC Nurse Practitioner CurrentSince Aug 7, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Sep 21, 2017 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC CurrentSince Jan 20, 2020 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Sep 21, 2017 Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

1334 Terry Ave
Seattle, WA 98101
Phone (206) 682-2661

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1538615042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 PATTON RD",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979785",
            "telephone_number": "608-843-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 PATTON RD",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979785",
            "telephone_number": "608-843-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60793192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

Verify at the official NPI Registry.