Pamela J Thul-Immler, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1370-033 Issued in WI

Practice address

9060 Madeline Lake Rd
Woodruff, WI 54568-9651

Phone

(715) 358-5066

Fax

(715) 358-5480

NPI assigned

Jun 4, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730381591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 MADELINE LAKE RD",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689651",
            "telephone_number": "715-358-5066",
            "fax_number": "715-358-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 MADELINE LAKE RD",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689651",
            "telephone_number": "715-358-5066",
            "fax_number": "715-358-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUL-IMMLER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "1370-033",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439-188-00",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne M. Sykora, PTA
• Caleb Terpstra, PT
• The Howard Young Medical Center, Inc. (Howard Young Medical Center)
• The Howard Young Medical Center, Inc. (Howard Young Medical Center)
• The Howard Young Medical Center, Inc. (Howard Young Medical Center - Crna)
• Maria Tillman, M.D.
• Angelene K Timmerman, CRNA
• Michael K Tonne, PA
• Total Renal Care Inc (Northern Star Dialysis)
• Adam Martin Ungerer, PHARM.D.

• Gerontology Nurse Practitioner in Woodruff, WI
• Providers in Woodruff, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.