Individual provider Active NPI

Katherine McLeod, RN, FPMHNP, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Janesville, WI
National Provider Identifier
1770874422
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1347-33 Issued in WI
Practice address
113 S Franklin St
Janesville, WI 53548-3812
Phone
(608) 757-5850
Fax
(608) 757-5545
NPI assigned
Apr 29, 2011
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1347-33 WI Primary
Registered Nurse 163W00000X 131135 WI

Addresses

Primary practice location

113 S Franklin St
Janesville, WI 53548-3812

Mailing address

113 S Franklin St
Janesville, WI 53548-3812
Phone (608) 757-5850

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
I20131007000624 WI Practitioner - Nurse Practitioner 0648404657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services SCGroup PAC ID 4789656083, 20 clinicians

Practice addresses (Care Compare)

2727 Marshall CT
Madison, WI 53705-2255
Phone (608) 238-9354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131135WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services SC CurrentSince Apr 1, 2022 Accepting new patients

Locations

2727 Marshall Ct
Madison, WI 53705
Phone (608) 238-9354

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1770874422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483812",
            "telephone_number": "608-757-5850",
            "fax_number": "608-757-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483812",
            "telephone_number": "608-757-5850",
            "fax_number": "608-757-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KATHERINE",
        "credential": "RN, FPMHNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1347-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "131135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.