NPIMap

Individual provider Active NPI

Ann M Liebeskind, MD

  • Internal Medicine Physician
  • Neenah, WI
National Provider Identifier
1629097654
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44592 Issued in WI
Practice address
1524 S Commercial St Ste 2N
Neenah, WI 54956-4999
Phone
(844) 547-4343
Fax
(844) 885-9574
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44592 WI
General Practice Physician 208D00000X 44592 WI
Internal Medicine Physician 207R00000X 44592 WI Primary

Addresses

Primary practice location

1524 S Commercial St Ste 2N
Neenah, WI 54956-4999

Mailing address

PO Box 1050
Neenah, WI 54957-1050
Phone (920) 915-2584

Other practice location 1

8651 W North Ave
Wauwatosa, WI 53226-2721
Phone (844) 547-4343

Other names 1

  • Ann Fjelstad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000168 WI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7416955356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coraggio LLCGroup PAC ID 2466743695, 2 clinicians

Practice addresses (Care Compare)

8651 W N Ave
Wauwatosa, WI 53226-2721
Phone (844) 547-4343

Hospital & facility affiliations

  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Thedacare Medical Center - New London Hospital, New London, WI, CCN 521326
  • Thedacare Medical Center-Waupaca Hospital, Waupaca, WI, CCN 521334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coraggio LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

307 S Commercial St
Ste 101
Neenah, WI 54956
Phone (844) 547-4343

116 E Bell St
Unit A
Neenah, WI 54956
Phone (844) 547-4343

1524 S Commercial St
Ste 2N
Neenah, WI 54956
Phone (844) 547-4343

8651 W North Ave
Wauwatosa, WI 53226
Phone (414) 774-9200

Interoperability endpoints

  • Direct secure messaging: ann.liebeskind.1@17903.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17903/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1629097654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549571050",
            "telephone_number": "920-915-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S COMMERCIAL ST STE 2N",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564999",
            "telephone_number": "844-547-4343",
            "fax_number": "844-885-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8651 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532262721",
            "country_code": "US",
            "telephone_number": "844-547-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBESKIND",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-01",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "44592",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "44592",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "FJELSTAD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.