Active NPI
Krista Michele Radish, NP
- Family Nurse Practitioner
- Oconto Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13822-33
- Practice address
- 835 S Main St
Oconto Falls, WI 54154-1282 - Phone
- (920) 496-4700
- NPI assigned
- Feb 10, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13822-33 | WI | Primary |
Addresses
Primary practice location
835 S Main St
Oconto Falls, WI 54154-1282
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100237377 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | ||
| Direct Messaging Address | kradish406386@ewd.direct.hshs.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523002358 | WI | Practitioner - Nurse Practitioner | 3779949383 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13822 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 13822-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St. Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Past | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
835 S Main St
Oconto Falls, WI 54154
Phone (920) 846-0509
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- kradish406386@ewd.direct.hshs.org
Organizations & group practices 16
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.
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
WI
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
WI
-
- Institutional Pharmacy
- Oconto Falls, WI
- NPI 1073536967
-
- Rural Health Clinic/Center
- Gillett, WI
- NPI 1134250905
-
- Medicare Defined Swing Bed Hospital Unit
- Oconto Falls, WI
- NPI 1326349135
-
- Rural Health Clinic/Center
- Lena, WI
- NPI 1346371358
-
- Rural Health Clinic/Center
- Oconto Falls, WI
- NPI 1467583096
-
- Rural Health Clinic/Center
- Mountain, WI
- NPI 1568552958
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1750412292
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Oconto Falls, WI
- NPI 1326349135
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Clare Memorial Hospital, Inc
Practice addresses (Care Compare)
14353 State Hwy 32 64
Mountain, WI 54149-9656
Phone (715) 276-1600
200 S Rosera St
Lena, WI 54139-9169
Phone (920) 829-6400
835 S Main St
Oconto Falls, WI 54154-1282
Hospital & facility affiliations
- HSHS St Clare Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1669179552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079070",
"telephone_number": "920-496-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S MAIN ST",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541282",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADISH",
"first_name": "KRISTA",
"middle_name": "MICHELE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "13822-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100237377",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "9792 Highway 70",
"city": "Minocqua",
"state": "WI",
"country_code": "US",
"postal_code": "545488747",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kradish406386@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Main St",
"city": "Oconto Falls",
"state": "WI",
"country_code": "US",
"postal_code": "541541282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oconto Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.