Active NPI
Ashley Weiland
- Family Nurse Practitioner
- Mount Pleasant, WI
National Provider Identifier
1841842697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11056
- Practice address
- 8400 Washington Ave BLDG Suite304
Mount Pleasant, WI 53406-3735 - Phone
- (262) 631-8750
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 220728 | WI | |
| Family Nurse Practitioner | 363LF0000X | 11056 | WI | Primary |
Addresses
Primary practice location
8400 Washington Ave BLDG Suite304
Mount Pleasant, WI 53406-3735
Mailing address
W208S8861 Hillendale Dr
Muskego, WI 53150-8415
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11056 | WI | MD | Professional Counselor |
| 220728 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Physician Group, Wisconsin LLC | Current | Accepting new patients | |
| Phoenixc Healthcare, SC | Current | Accepting new patients | |
| Impact Physician Group, LLC | Past | Accepting new patients | |
| Bruce a Luccas, MD, LLC | Past | Accepting new patients |
Locations
6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557
3200 S 103rd St
Milwaukee, WI 53227
Phone (414) 440-0500
Interoperability endpoints
- aweiland191935@aurora.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1174291025
-
- Clinical Cardiac Electrophysiology Physician
- Kenosha, WI
- NPI 1821591710
-
- Family Medicine Physician
- Racine, WI
- NPI 1023204963
-
- Internal Medicine Physician
- Peachtree City, GA
- NPI 1114428612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1841842697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W208S8861 HILLENDALE DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 WASHINGTON AVE BLDG SUITE304",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534063735",
"telephone_number": "262-631-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILAND",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "220728",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "11056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.