Michele Mae Wiese, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6411-33 Issued in WI

Practice address

1617 Sherman Ave
Madison, WI 53704-5930

Phone

(608) 245-3094

Fax

(608) 245-3879

NPI assigned

Jun 19, 2015

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 names 1

• Michele Mae Faul Former name

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1750763470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045930",
            "telephone_number": "608-245-3094",
            "fax_number": "608-245-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045930",
            "telephone_number": "608-245-3094",
            "fax_number": "608-245-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "MICHELE",
        "middle_name": "MAE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "150581-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6411-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "FAUL",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Ayumi Wiener, MD
• Emily Wiersma, LCSW
• Bryan L. Wierwill, D.D.S.
• Cayden Donald Wiese, RDN
• Emily Wiese
• Taylor Wiese
• Mary E Wiesen, NP
• Kassondra Wieser, LPN
• Jane B Wiesler, RPH
• Brittany Nicole Wiest, APSW

• Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.