Individual provider Active NPI

Christine R Seguin, RNC FNP APNP

  • Family Nurse Practitioner
  • Black River Falls, WI
National Provider Identifier
1841386232
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82913 Issued in WI
Practice address
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615
Phone
(715) 284-9851
Fax
(715) 284-5150
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 82913 WI Primary

Addresses

Primary practice location

N6520 Lumberjack Guy Rd
Black River Falls, WI 54615

Mailing address

N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone (715) 284-9851

Other identifiers 4

IdentifierTypeStateIssuer
500023299OtherWIPALMETTO GBA
62167OtherWISECURITY HEALTH PLAN
82913OtherWIWWP EDS
43909400MedicaidWI

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
I20110823000720 WI Practitioner - Nurse Practitioner 5890965263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ho Chunk NationGroup PAC ID 5496709867, 30 clinicians

Practice addresses (Care Compare)

N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone (715) 284-9851

Hospital & facility affiliations

  • Black River Memorial Hospital Hospital, Black River Falls, WI, CCN 521333
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82913WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ho Chunk Nation Current Accepting new patients
Ho-Chunk Nation CurrentSince Nov 22, 1999 Accepting new patients

Locations

S2845 White Eagle Rd
Baraboo, WI 53913
Phone (608) 355-1240

N6520 Lumberjack Guy Rd
Blk River Fls, WI 54615
Phone (715) 284-9851

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.

Hospital & facility affiliations 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1841386232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6520 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155405",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6520 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RNC FNP APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "82913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "500023299",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "62167",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WWP EDS",
            "identifier": "82913",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43909400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.