Individual provider Active NPI

Joan Ann Hilgendorf

  • Registered Nurse
  • Monroe, WI
National Provider Identifier
1639437643
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
145259030 Issued in WI
Practice address
N4416 Dutch Hollow Rd
Monroe, WI 53566-8765
Phone
(608) 325-4332
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 145259030 WI Primary

Addresses

Primary practice location

N4416 Dutch Hollow Rd
Monroe, WI 53566-8765

Mailing address

N4416 Dutch Hollow Rd
Monroe, WI 53566-8765
Phone (608) 325-4332

Other identifiers 1

IdentifierTypeStateIssuer
145259030OtherWIREGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
145259030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1639437643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4416 DUTCH HOLLOW RD",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668765",
            "telephone_number": "608-325-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4416 DUTCH HOLLOW RD",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668765",
            "telephone_number": "608-325-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGENDORF",
        "first_name": "JOAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "145259030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "145259030",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.