Active NPI
Trisha Ann Everson, PA-C
- Physician Assistant
- Waupaca, WI
National Provider Identifier
1588949101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2868-23
- Practice address
- 800 Riverside Dr
Waupaca, WI 54981-1943 - Phone
- (920) 380-4999
- Fax
- (920) 380-4961
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2868-23 | WI | Primary |
Addresses
Primary practice location
800 Riverside Dr
Waupaca, WI 54981-1943
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 380-4999
Other practice location 1
3301 Cranberry Blvd
Weston, WI 54476-5216
Phone (715) 393-3990
Other practice location 2
3925 N Gateway Dr
Appleton, WI 54913-7863
Phone (920) 380-4999
Other names 1
- Trisha Ann Weiland
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2868-23 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1588949101",
"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": "920-380-4999",
"fax_number": "920-380-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RIVERSIDE DR",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811943",
"telephone_number": "920-380-4999",
"fax_number": "920-380-4961"
}
],
"practiceLocations": [
{
"address_1": "3301 Cranberry Blvd",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "WI",
"postal_code": "544765216",
"country_code": "US",
"telephone_number": "715-393-3990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3925 N Gateway Dr",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549137863",
"country_code": "US",
"telephone_number": "920-380-4999",
"fax_number": "920-380-4961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERSON",
"first_name": "TRISHA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2868-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "WEILAND",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.