Mark Oliver Pease, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

392-33 Issued in WI

Practice address

W4051 Hwy NN
Elkhorn, WI 53121-4338

Phone

(262) 741-3200

Fax

(262) 741-3217

NPI assigned

Mar 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1861715468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 W OPEN MDW",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535588804",
            "telephone_number": "608-838-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W4051 HWY NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214338",
            "telephone_number": "262-741-3200",
            "fax_number": "262-741-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "MARK",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "392-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "392-33",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "68680-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahin Para-Cremer, M.ED., BCBA
• Elizabeth Ann Paras, MS, LPC, SACIT
• Dilip P Patel, MD
• Keri Pautz
• Lori Pearson, NCLMT
• Kaitlin Pellicano, MD
• Juanita Perez Perez
• Sheila Peters
• Roger Dwight Petersen, M.D.
• Clayton Richard Peterson, LCSW

• Nurse Practitioner in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.