Individual provider Active NPI

Alecia Raschke, APNP

  • Family Nurse Practitioner
  • Winnebago, WI
National Provider Identifier
1871076273
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
869533 Issued in WI
Practice address
1300 South Dr
Winnebago, WI 54985
Phone
(920) 235-4190
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 869533 WI
Family Nurse Practitioner 363LF0000X 869533 WI Primary

Addresses

Primary practice location

1300 South Dr
Winnebago, WI 54985

Mailing address

1300 South Drive
Winnebago, WI 54985-5498
Phone (920) 235-4910

Other practice location 1

3232 N Ballard Rd Ste 100
Appleton, WI 54911-8804
Phone (920) 729-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
869533WIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theda Clark OB Hospitalists SC CurrentSince Sep 5, 2023 Accepting new patients
Winnebago Mental Health Institute PastSince Jul 9, 2023 Accepting new patients

Locations

3232 N Ballard Rd
Ste 100
Appleton, WI 54911

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.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1871076273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549855498",
            "telephone_number": "920-235-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SOUTH DR",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "54985",
            "telephone_number": "920-235-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 N Ballard Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118804",
            "country_code": "US",
            "telephone_number": "920-729-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCHKE",
        "first_name": "ALECIA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "869533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "869533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, WI

Sources for this page

Verify at the official NPI Registry.