Individual provider Active NPI

Kathryn Beecroft, APNP

  • Family Nurse Practitioner
  • Cumberland, WI
National Provider Identifier
1558080903
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12143 Issued in WI
Practice address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone
(715) 822-7500
Fax
(715) 822-7221
NPI assigned
Aug 26, 2022
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12143 WI Primary

Addresses

Primary practice location

1705 16TH Ave
Cumberland, WI 54829-8601

Mailing address

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7500

Other names 1

  • Kathryn Garibaldi Former name

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
I20221107001647 WI Practitioner - Nurse Practitioner 9436526340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, 19 clinicians

Practice addresses (Care Compare)

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.85 of 100Reported as group
Quality
89.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12143WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Memorial Hospital, Inc CurrentSince Sep 1, 2022 Accepting new patients
Cumberland Memorial Hospital Inc CurrentSince Sep 1, 2022 Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients

Locations

1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1558080903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECROFT",
        "first_name": "KATHRYN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "12143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GARIBALDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, WI

Sources for this page

Verify at the official NPI Registry.