Active NPI
Nicole Ann Mueller
- Nurse Practitioner
- Viroqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14709-33
- Practice address
- 507 S Main St
Viroqua, WI 54665-2059 - Phone
- (608) 637-2101
- NPI assigned
- Jun 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14709-33 | WI | Primary |
Addresses
Primary practice location
507 S Main St
Viroqua, WI 54665-2059
Mailing address
E9161 Carlson Ridge Rd
Westby, WI 54667-8112
Phone (608) 769-4063
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131000623 | WI | Practitioner - Nurse Practitioner | 9436502028 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vernon Memorial Healthcare Inc
Practice addresses (Care Compare)
407 S Main St
Suite 400
Viroqua, WI 54665-4000
Phone (608) 637-3174
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
Hospital & facility affiliations
- Vernon Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Past | Accepting new patients |
Locations
206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494
102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-5203
407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
407 S Main St
Ste 200
Viroqua, WI 54665
Phone (608) 637-3195
100 Melby St
Westby, WI 54667
Phone (608) 634-3125
Interoperability endpoints
- nmueller823675@direct.emplifyhealth.org
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Soldiers Grove, WI
- NPI 1376549824
-
- Rural Health Clinic/Center
- Westby, WI
- NPI 1215933767
-
- Rural Health Clinic/Center
- La Farge, WI
- NPI 1750387221
-
- Critical Access Hospital
- Viroqua, WI
- NPI 1992701031
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1780378117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E9161 CARLSON RIDGE RD",
"city": "WESTBY",
"state": "WI",
"postal_code": "546678112",
"telephone_number": "608-769-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652059",
"telephone_number": "608-637-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "NICOLE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "14709-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.