Individual provider Active NPI

Sheala Rae Pinter, NP

  • Family Nurse Practitioner
  • Medford, WI
National Provider Identifier
1578031035
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8840-33 Issued in WI
Practice address
135 S Gibson St
Medford, WI 54451-1622
Phone
(715) 748-8100
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 8840-33 WI Primary

Addresses

Primary practice location

135 S Gibson St
Medford, WI 54451-1622

Mailing address

135 S Gibson St
Medford, WI 54451-1622

Other practice location 1

124 N Main St
Greenwood, WI 54437-9419
Phone (715) 284-2003

Other practice location 2

502 Main St
Black River Falls, WI 54615-1648
Phone (715) 284-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 9, 2025 through Dec 9, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8840-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Fountain Chiropractic LLC CurrentSince Feb 28, 2023 Accepting new patients

Locations

124 N Main St
Greenwood, WI 54437
Phone (715) 267-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1578031035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622",
            "telephone_number": "715-748-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 N Main St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "WI",
            "postal_code": "544379419",
            "country_code": "US",
            "telephone_number": "715-284-2003",
            "fax_number": "844-285-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Main St",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "546151648",
            "country_code": "US",
            "telephone_number": "715-284-2003",
            "fax_number": "844-285-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINTER",
        "first_name": "SHEALA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8840-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.