Active NPI
Carla Mae Weismantel, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 14817-33
- Practice address
- 5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159 - Phone
- (262) 789-1191
- NPI assigned
- Jun 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1155040 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14817-33 | WI | Primary |
Addresses
Primary practice location
5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159
Mailing address
665 Winding Woods Dr
Loveland, OH 45140-8080
Phone (513) 490-6485
Other practice location 1
7200 Wyoming Springs Dr Ste 1600
Round Rock, TX 78681-4307
Phone (737) 225-6989
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1233 N Mayfair Rd
Suite 207
Wauwatosa, WI 53226-3255
Phone (414) 296-6189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155040 | KY | MD | Psychiatric/Mental Health Registered Nurse |
| 14817-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Psychiatric Medical Services, S.C. | Current | Accepting new patients |
Locations
1211 W 22nd St
Ste 406
Oak Brook, IL 60523
780 Regent St
Ste 309
Madison, WI 53715
Phone (608) 690-5657
9000 W Chester St
Ste 100
Milwaukee, WI 53214
Phone (414) 296-6189
1233 N Mayfair Rd
Ste 207
Wauwatosa, WI 53226
Phone (414) 285-6018
Interoperability endpoints
- carla.weismantel.1@25899.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1760111256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 WINDING WOODS DR",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451408080",
"telephone_number": "513-490-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 S HOWELL AVE STE 350",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532076159",
"telephone_number": "262-789-1191"
}
],
"practiceLocations": [
{
"address_1": "7200 Wyoming Springs Dr Ste 1600",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786814307",
"country_code": "US",
"telephone_number": "737-225-6989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISMANTEL",
"first_name": "CARLA",
"middle_name": "MAE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2024-01-08",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "KY",
"license": "1155040",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "14817-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.