Active NPI
Joann Carol Falk, APNP
- Family Nurse Practitioner
- Hayward, WI
National Provider Identifier
1548375488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2296-033
- Practice address
- 13380 W Trepania Rd
Hayward, WI 54843-2186 - Phone
- (715) 638-5100
- Fax
- (715) 634-6107
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2296-033 | WI | Primary |
Addresses
Primary practice location
13380 W Trepania Rd
Hayward, WI 54843-2186
Mailing address
13380 W Trepania Rd
Hayward, WI 54843-2186
Phone (715) 638-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39944100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2296 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. | Past | Accepting new patients | |
| Bad River Band of Lake Superior Tribe of Chippewa Indians Wis | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Ashland, WI
- NPI 1699701375
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ashland, WI
- NPI 1780702829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548375488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13380 W TREPANIA RD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548432186",
"telephone_number": "715-638-5100",
"fax_number": "715-634-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13380 W TREPANIA RD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548432186",
"telephone_number": "715-638-5100",
"fax_number": "715-634-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "JOANN",
"middle_name": "CAROL",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2296-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39944100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.