Individual provider Active NPI

Dawn Marie Faust, APRN, BC

  • Adult Health Nurse Practitioner
  • Columbus, WI
National Provider Identifier
1831384874
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2007005953 Issued in WI
Practice address
1511 Park Ave
Columbus, WI 53925-2401
Phone
(920) 623-2323
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2007005953 WI Primary

Addresses

Primary practice location

1511 Park Ave
Columbus, WI 53925-2401

Mailing address

4476 Wind Chime Way
Cottage Grove, WI 53527-9729
Phone (920) 207-0477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DFAUST266236@DIRECT-EHR-SSMHC.COM Direct SSM HEALTHCARE OF WI INC

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
I20080205000475 WI Practitioner - Nurse Practitioner 3577646165 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007005953WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Health Inc. CurrentSince Dec 31, 2015 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Dec 31, 2015 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients

Locations

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

1511 Park Ave
Columbus, WI 53925
Phone (920) 623-3012

1511 Park Ave
Ste 6H
Columbus, WI 53925
Phone (920) 623-2323

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/

Organizations & group practices 5

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1831384874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 WIND CHIME WAY",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279729",
            "telephone_number": "920-207-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PARK AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539252401",
            "telephone_number": "920-623-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "2007005953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DFAUST266236@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "SSM HEALTHCARE OF WI INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DFAUST266236@DIRECT-EHR-SSMHC.COM",
            "address_1": "1511 Park Ave",
            "city": "Columbus",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539252401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, WI

Sources for this page

Verify at the official NPI Registry.