Individual provider Active NPI

Mary Pintarro, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Janesville, WI
National Provider Identifier
1689310179
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11894-33 Issued in WI
Practice address
1820 Center Ave Ste 170
Janesville, WI 53546-2878
Phone
(608) 755-1475
Fax
(608) 755-1733
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11894-33 WI Primary

Addresses

Primary practice location

1820 Center Ave Ste 170
Janesville, WI 53546-2878

Mailing address

203 W Sunny LN
Janesville, WI 53546-9091
Phone (608) 741-4500

Other practice location 1

203 W Sunny Ln
Janesville, WI 53546-9091
Phone (608) 741-4500

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
I20220624001529 WI Practitioner - Nurse Practitioner 2769861541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 3678565116, 12 clinicians

Practice addresses (Care Compare)

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11894-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Sep 30, 2022 Accepting new patients
Rock Valley Community Programs, Inc. CurrentSince May 16, 2022 Accepting new patients
Community Health Systems, Inc. CurrentSince Sep 30, 2022 Accepting new patients

Locations

74 Eclipse Ctr
Beloit, WI 53511
Phone (608) 361-0311

849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960

1820 Center Ave
Ste 170
Janesville, WI 53546
Phone (608) 755-1475

203 W Sunny Ln
Janesville, WI 53546
Phone (608) 741-4500

Interoperability endpoints

  • Direct secure messaging: mpintarro579232@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1689310179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W SUNNY LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469091",
            "telephone_number": "608-741-4500",
            "fax_number": "608-741-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTER AVE STE 170",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462878",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 W Sunny Ln",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535469091",
            "country_code": "US",
            "telephone_number": "608-741-4500",
            "fax_number": "608-741-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINTARRO",
        "first_name": "MARY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11894-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.