Active NPI
Donna Jo Hawley, APNP
- Nurse Practitioner
- Oshkosh, WI
National Provider Identifier
1770050585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8756
- Practice address
- 1855 S Koeller St
Oshkosh, WI 54902-6186 - Phone
- (920) 210-1259
- NPI assigned
- Oct 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8756 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8756 | WI | |
| Nurse Practitioner | 363L00000X | 8756 | WI | Primary |
Addresses
Primary practice location
1855 S Koeller St
Oshkosh, WI 54902-6186
Mailing address
224 Forest St
Fox Lake, WI 53933-9404
Phone (920) 210-1259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100193794 | Medicaid | WI | |
| 100083122 | Medicaid | WI |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1351 Ontario Rd
Green Bay, WI 54311-8302
Phone (920) 328-1220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8756 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sequoia Integrative Medical Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Kaukauna, WI
- NPI 1790312171
Psychiatric/Mental Health
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1770050585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 FOREST ST",
"city": "FOX LAKE",
"state": "WI",
"postal_code": "539339404",
"telephone_number": "920-210-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026186",
"telephone_number": "920-210-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "DONNA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "8756",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "8756",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100193794",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100083122",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.