Individual provider Active NPI

Meheza Tchedie Pannla, NP

  • Family Nurse Practitioner
  • Little Chute, WI
National Provider Identifier
1720788243
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13494-33 Issued in WI
Practice address
200 Patriot Dr
Little Chute, WI 54140-1184
Phone
(920) 687-2800
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 13494-33 WI Primary

Addresses

Primary practice location

200 Patriot Dr
Little Chute, WI 54140-1184

Mailing address

200 Patriot Dr
Little Chute, WI 54140-1184
Phone (920) 687-2800

Other identifiers 1

IdentifierTypeStateIssuer
100235805MedicaidWI

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
I20230504002461 WI Practitioner - Nurse Practitioner 4688039100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Fox Valley Wisconsin, IncGroup PAC ID 0244142420, 260 clinicians

Practice addresses (Care Compare)

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

200 Patriot Dr
Little Chute, WI 54140-1184
Phone (920) 687-2800

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13494-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 20, 2026 Accepting new patients
Apogee Medical Group Waukesha, SC CurrentSince May 1, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 20, 2026 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

200 Patriot Dr
Little Chute, WI 54140
Phone (920) 687-2800

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

Interoperability endpoints

  • Direct secure messaging: mtchediepannla644220@direct.froedtert.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1720788243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PATRIOT DR",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401184",
            "telephone_number": "920-687-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATRIOT DR",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401184",
            "telephone_number": "920-687-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHEDIE PANNLA",
        "first_name": "MEHEZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13494-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235805",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Chute, WI

Sources for this page

Verify at the official NPI Registry.