Active NPI
Glenda Weigner, APNP
- Nurse Practitioner
- Oconto Falls, WI
National Provider Identifier
1801210240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5671-33
- Practice address
- 835 S Main St
Ste 1
Oconto Falls, WI 54154-1282 - Phone
- (920) 846-8187
- Fax
- (920) 846-2073
- NPI assigned
- Feb 5, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5671-33 | WI | Primary |
| Nurse Practitioner | 363L00000X | 137624-30 | WI |
Addresses
Primary practice location
835 S Main St
Ste 1
Oconto Falls, WI 54154-1282
Mailing address
855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11014110 | Medicaid | WI | |
| 1851477913 | Other | WA | CMH NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137624-30 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients |
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.
-
dba St Clare Memorial Hospital Pharmacy
- Institutional Pharmacy
- Oconto Falls, WI
- NPI 1073536967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1801210240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 S MAIN ST",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541241",
"telephone_number": "920-846-3444",
"fax_number": "920-846-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S MAIN ST",
"address_2": "STE 1",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541282",
"telephone_number": "920-846-8187",
"fax_number": "920-846-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGNER",
"first_name": "GLENDA",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5671-33",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "137624-30",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11014110",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMH NPI",
"identifier": "1851477913",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oconto Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.