Individual provider Active NPI

Danielle Jo Sommerfeldt, FNP

  • Family Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1659809390
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7640 Issued in WI
Practice address
510 N 17TH Ave Ste a
Wausau, WI 54401-4254
Phone
(715) 842-7707
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7640 WI Primary

Addresses

Primary practice location

510 N 17TH Ave Ste a
Wausau, WI 54401-4254

Mailing address

510 N 17TH Ave Ste a
Wausau, WI 54401-4254
Phone (715) 842-7707

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
I20170810000796 WI Practitioner - Nurse Practitioner 4981975802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interim Hospice and Palliative CareGroup PAC ID 0749458735, 6 clinicians

Practice addresses (Care Compare)

1404 Lili LN
Schofield, WI 54476-4941
Phone (715) 355-0586

1408 Lili LN
Schofield, WI 54476-4941
Phone (715) 298-0218

1957 Kowalski Rd
Kronenwetter, WI 54455-8818
Phone (715) 903-0177

210 W Campus Dr
Wausau, WI 54401-1978
Phone (715) 675-4444

2100 Townline Rd
Wausau, WI 54403-9395
Phone (715) 842-1818

220 W Campus Dr
Wausau, WI 54401-1978
Phone (715) 675-4494

2309 Ross Ave
Schofield, WI 54476-1991
Phone (715) 355-6170

327 N 17TH Ave
Suite 7
Wausau, WI 54401-4283
Phone (920) 494-9444

3402 Terrace CT
Wausau, WI 54401-4914
Phone (715) 843-5230

4602 Barbican Ave
Weston, WI 54476-4178
Phone (719) 355-5858

5855 Delikowski St
Weston, WI 54476-3611
Phone (715) 355-0322

5905 Delikowski St
Weston, WI 54476-3692
Phone (715) 298-1688

801 Parcher St
Wausau, WI 54403-4218
Phone (715) 845-1214

805 Parcher St
Wausau, WI 54403-3278
Phone (715) 849-9563

Hospital & facility affiliations

  • Interim Healthcare of Wausau Home health agency, Wausau, WI, CCN 527237
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7640WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Hospice & Palliative Care CurrentSince Jul 10, 2017 Accepting new patients
Kochas Interim Healthcare Inc PastSince Dec 9, 2019 Accepting new patients

Locations

327 N 17th Ave
Ste 7
Wausau, WI 54401
Phone (715) 845-2942

510 N 17th Ave
Ste A
Wausau, WI 54401
Phone (715) 842-7707

Interoperability endpoints

  • Direct secure messaging: daniellesommerfeldt@ihapc-wi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1659809390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014254",
            "telephone_number": "715-842-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014254",
            "telephone_number": "715-842-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERFELDT",
        "first_name": "DANIELLE",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.