Active NPI
Kira M Hoerig, CNM, MSN
- Advanced Practice Midwife
- Neenah, WI
National Provider Identifier
1811510365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 149002-32
- Practice address
- 200 Theda Clark Medical PLZ Ste 130
Neenah, WI 54956-2790 - Phone
- (920) 729-7105
- NPI assigned
- May 19, 2020
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 10272-33 | WI | |
| Advanced Practice Midwife | 367A00000X | 149002-32 | WI | Primary |
Addresses
Primary practice location
200 Theda Clark Medical PLZ Ste 130
Neenah, WI 54956-2790
Mailing address
PO Box 7289
Appleton, WI 54912-7070
Phone (920) 729-7105
Other names 1
- Ms. Kira M Schultz
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
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10272-33 | WI | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theda Clark OB Hospitalists SC | Current | Accepting new patients |
Locations
3232 N Ballard Rd
Ste 100
Appleton, WI 54911
Interoperability endpoints
- khoerig295507@direct.thedacare.org
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.
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1295510196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1811510365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7289",
"city": "APPLETON",
"state": "WI",
"postal_code": "549127070",
"telephone_number": "920-729-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 THEDA CLARK MEDICAL PLZ STE 130",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562790",
"telephone_number": "920-729-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERIG",
"first_name": "KIRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WI",
"license": "10272-33",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "149002-32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRA",
"last_name": "SCHULTZ",
"middle_name": "M",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.