Active NPI
Mary Pintarro, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11894-33
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11894-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems, Inc. | Current | Accepting new patients | |
| Rock Valley Community Programs, Inc. | Current | Accepting new patients | |
| Community Health Systems, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Beloit, WI
- NPI 1750390670
-
- Federally Qualified Health Center (FQHC)
- Darlington, WI
- NPI 1043981624
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1134306293
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.