Active NPI
Gina Wimmer, RN
- Registered Nurse
- Kronenwetter, WI
National Provider Identifier
1851761118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 198250-30
- Practice address
- 917 Gabes Rd
Kronenwetter, WI 54455-9067 - Phone
- (715) 212-1633
- NPI assigned
- Sep 30, 2015
- Last updated
- Sep 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 198250-30 | WI | Primary |
Addresses
Primary practice location
917 Gabes Rd
Kronenwetter, WI 54455-9067
Mailing address
917 Gabes Rd.
Mosinee, WI 54455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336247139 | Medicaid | WI |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198250-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1851761118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 GABES RD.",
"city": "MOSINEE",
"state": "WI",
"postal_code": "54455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 GABES RD",
"city": "KRONENWETTER",
"state": "WI",
"postal_code": "544559067",
"telephone_number": "715-212-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMMER",
"first_name": "GINA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "198250-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336247139",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kronenwetter, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.