Individual provider Active NPI

Chadd Francis Degrush, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1578323192
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15179-33 Issued in WI
Practice address
5401 Quarry Park Rd
Madison, WI 53718-7901
Phone
(844) 767-3769
NPI assigned
Mar 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 15179-33 WI Primary

Addresses

Primary practice location

5401 Quarry Park Rd
Madison, WI 53718-7901

Mailing address

803 Clara Ave
Wisconsin Dells, WI 53965-7921
Phone (608) 345-0641

Other practice location 1

803 Clara Ave
Wisconsin Dells, WI 53965-7921
Phone (608) 345-0641

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
I20250623003048 WI Practitioner - Nurse Practitioner 9537671821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison BH LLCGroup PAC ID 9931630332, 6 clinicians

Practice addresses (Care Compare)

110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900

1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

5401 Quarry Park Rd
Madison, WI 53718-7901
Phone (608) 690-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15179-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison BH, LLC Single Specialty CurrentSince Apr 4, 2025 Accepting new patients

Locations

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

5401 Quarry Park Rd
Madison, WI 53718
Phone 6086907111 ext. 109

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1578323192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 CLARA AVE",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539657921",
            "telephone_number": "608-345-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 QUARRY PARK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187901",
            "telephone_number": "844-767-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Clara Ave",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Dells",
            "state": "WI",
            "postal_code": "539657921",
            "country_code": "US",
            "telephone_number": "608-345-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRUSH",
        "first_name": "CHADD",
        "middle_name": "FRANCIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15179-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.