Individual provider Active NPI

Tessa Lucille Mersberger, APNP

  • Nurse Practitioner
  • Beloit, WI
National Provider Identifier
1689432783
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15148-33 Issued in WI
Practice address
1969 W Hart Rd
Beloit, WI 53511-2230
Phone
(405) 696-7932
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15148-33 WI Primary

Addresses

Primary practice location

1969 W Hart Rd
Beloit, WI 53511-2230

Mailing address

125 S Gjertson St
Stoughton, WI 53589-2037
Phone (608) 206-1906

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
I20240522003241 WI Practitioner - Nurse Practitioner 9234571274 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Wisconsin Emergency Associates SCGroup PAC ID 3274561055, 47 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians
Stoughton Hospital AssociationGroup PAC ID 7012825706, 66 clinicians

Practice addresses (Care Compare)

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5566

4 Burdick St
Edgerton, WI 53534-1729
Phone (608) 884-3441

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15148-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Swea Fort SC CurrentSince Oct 18, 2024 Accepting new patients
Edgerton Hospital and Health Services CurrentSince Apr 1, 2025 Accepting new patients
Southern Wisconsin Emergency Associates SC CurrentSince May 1, 2024 Accepting new patients
Stoughton Hospital Association CurrentSince Sep 24, 2024 Accepting new patients
Stoughton Hospital Association CurrentSince Sep 24, 2024 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

5614 US Highway 51
McFarland, WI 53558
Phone (608) 838-8242

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

990 Janesville St
Ste L
Oregon, WI 53575

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • Direct secure messaging: tmersberger336908@direct-ehr-ssmhc.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1689432783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S GJERTSON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892037",
            "telephone_number": "608-206-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "405-696-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSBERGER",
        "first_name": "TESSA",
        "middle_name": "LUCILLE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15148-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.