Active NPI
Tessa Lucille Mersberger, APNP
- Nurse Practitioner
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15148-33
- Practice address
- 1969 W Hart Rd
Beloit, WI 53511-2230 - Phone
- (405) 696-7932
- NPI assigned
- Mar 12, 2024
- Last updated
- Mar 12, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15148-33 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Swea Fort SC | Current | Accepting new patients | |
| Edgerton Hospital and Health Services | Current | Accepting new patients | |
| Southern Wisconsin Emergency Associates SC | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current | 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
- 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.
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- Emergency Medicine Physician
- Fort Atkinson, WI
- NPI 1295552065
-
- Urgent Care Clinic/Center
- Edgerton, WI
- NPI 1538845805
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.