Active NPI
Thomas William Adler, APNP
- Nurse Practitioner
- De Pere, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13383-33
- 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
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 |
|---|---|---|---|---|
| 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.
-
- Urology Physician
- De Pere, WI
- NPI 1467172528
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
Practice addresses (Care Compare)
2720 Cahill Rd
Marinette, WI 54143-3892
Phone (920) 433-9400
Hospital & facility affiliations
- Bellin Memorial Hospital
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 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of Green Bay, S.C. | Current | Accepting new patients | |
| Urology Associates of Green Bay Surgery Center, LLC | Past | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.