Individual provider Active NPI

Luke E Menet, APNP

  • Family Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1588063390
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5978 Issued in WI
Practice address
W5282 Amy Ave
Appleton, WI 54915-7233
Phone
(920) 358-1910
NPI assigned
Aug 18, 2014
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5978-33 WI
Family Nurse Practitioner 363LF0000X 5978 WI Primary
Registered Nurse 163W00000X 173153-30 WI

Addresses

Primary practice location

W5282 Amy Ave
Appleton, WI 54915-7233

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 358-1910

Other practice location 1

1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530

Other practice location 2

520 W 3rd St
Kimberly, WI 54136-1300
Phone (920) 788-7860

Other identifiers 2

IdentifierTypeStateIssuer
173153-30OtherWIWI STATE RN LICENSE
5978-33OtherWIAPNP LIC

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
I20150313000968 WI Practitioner - Nurse Practitioner 4183940935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

520 W 3Rd St
Kimberly, WI 54136-1300
Phone (920) 788-7680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173153-30WIMDRegistered Nurse
5978-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 22, 2014 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince May 1, 2015 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 22, 2014 Accepting new patients
Thedacare, Incorporated CurrentSince Oct 1, 2021 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince May 1, 2015 Accepting new patients
Thedacare Medical Center - Shawano, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

W5282 Amy Ave
Appleton, WI 54915
Phone (920) 358-1900

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

520 W 3rd St
Kimberly, WI 54136
Phone (920) 788-7680

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Interoperability endpoints

  • Direct secure messaging: lmenet56377@direct.thedacare.org

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1588063390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-358-1910",
            "fax_number": "920-788-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5282 AMY AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157233",
            "telephone_number": "920-358-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Pine St",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "WI",
            "postal_code": "547681297",
            "country_code": "US",
            "telephone_number": "715-644-5530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "WI",
            "postal_code": "541361300",
            "country_code": "US",
            "telephone_number": "920-788-7860",
            "fax_number": "920-788-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENET",
        "first_name": "LUKE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5978-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5978",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "173153-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE RN LICENSE",
            "identifier": "173153-30",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP LIC",
            "identifier": "5978-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.