Individual provider Active NPI

Tawnee Berg

  • Family Nurse Practitioner
  • Altoona, WI
National Provider Identifier
1710785282
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16577-33 Issued in WI
Practice address
1200 Oakleaf Way
Suite a
Altoona, WI 54720
Phone
(715) 832-1400
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16577-33 WI Primary

Addresses

Primary practice location

1200 Oakleaf Way
Suite a
Altoona, WI 54720

Mailing address

PO Box 314
Augusta, WI 54722-0314
Phone (715) 450-1078

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
I20250605002658 WI Practitioner - Nurse Practitioner 5799295192 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16577-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Orthopedics and Sports Medicine Clinic, SC CurrentSince Apr 25, 2025 Accepting new patients
Chippewa Valley Orthopedics and Sports Medicine Clinic SC CurrentSince Apr 25, 2025 Accepting new patients

Locations

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

757 Lakeland Dr
Ste B
Chippewa Falls, WI 54729
Phone (715) 723-5989

2200 Cedar Crest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 455-0408

Interoperability endpoints

  • Direct secure messaging: tawnee.berg.1@32401.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1710785282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "AUGUSTA",
            "state": "WI",
            "postal_code": "547220314",
            "telephone_number": "715-450-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY",
            "address_2": "SUITE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "54720",
            "telephone_number": "715-832-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "TAWNEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16577-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.