Individual provider Active NPI

Coral L Linberg

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1801487384
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10574 Issued in WI
Practice address
2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033
Phone
(715) 833-0660
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10574 WI Primary

Addresses

Primary practice location

2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033

Mailing address

2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033
Phone (715) 833-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provisions Health Services CurrentSince Feb 23, 2025 Accepting new patients
Provisions Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

2522 Golf Rd
Ste 2
Eau Claire, WI 54701
Phone (715) 563-8393

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1801487384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 GOLF RD STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016033",
            "telephone_number": "715-833-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 GOLF RD STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016033",
            "telephone_number": "715-833-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINBERG",
        "first_name": "CORAL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.