Individual provider Active NPI

Thomas William Adler, APNP

  • Nurse Practitioner
  • De Pere, WI
National Provider Identifier
1558073528
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13383-33 Issued in WI
Practice address
1385 W Main Ave
De Pere, WI 54115-9366
Phone
(906) 235-1548
Fax
(920) 455-9409
NPI assigned
Dec 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13383-33 WI Primary

Addresses

Primary practice location

1385 W Main Ave
De Pere, WI 54115-9366

Mailing address

1385 W Main Ave
De Pere, WI 54115-9366
Phone (920) 433-9400

Other practice location 1

2720 Cahill Rd
Marinette, WI 54143-3892
Phone (715) 732-3420

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Green Bay SC 12 clinicians

Practice addresses (Care Compare)

2720 Cahill Rd
Marinette, WI 54143-3892
Phone (920) 433-9400

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

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
I20230320002845 WI Practitioner - Nurse Practitioner 0446624134 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Green Bay, S.C. CurrentSince Dec 9, 2022 Accepting new patients
Urology Associates of Green Bay Surgery Center, LLC PastSince Dec 1, 2022 Accepting new patients

Locations

1385 W Main Ave
De Pere, WI 54115

720 S Van Buren St
Ste 301
Green Bay, WI 54301
Phone (920) 433-9000

720 S Van Buren St
Green Bay, WI 54301
Phone (920) 430-7100

2720 Cahill Rd
Marinette, WI 54143
Phone (715) 732-3420

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: tadler187932@direct.thedacare.org

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1558073528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "920-433-9400",
            "fax_number": "920-455-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "906-235-1548",
            "fax_number": "920-455-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Cahill Rd",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433892",
            "country_code": "US",
            "telephone_number": "715-732-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13383-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.