Individual provider Active NPI

Marissa Lorena Walczak, FNP-BC

  • Family Nurse Practitioner
  • Rice Lake, WI
National Provider Identifier
1871291906
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13864-33 Issued in WI
Practice address
2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone
(715) 997-3915
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 13864-33 WI Primary

Addresses

Primary practice location

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20230628003265 WI Practitioner - Nurse Practitioner 5193184802 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Lakeview Medical Center Inc of Rice LakeGroup PAC ID 6103737820, 168 clinicians
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

2727 Plaza Dr
Marshfield, WI 54449-5703

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone (715) 997-3915

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011
  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
64.71
Promoting interoperability
100
Improvement activities
40
Cost
65.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13864-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Oakleaf Clinics Inc Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 26, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 26, 2023 Accepting new patients
Oakleaf Clinics Inc Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 26, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 26, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 26, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 26, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 26, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 26, 2023 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

2403 Folsom St
Eau Claire, WI 54703

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2900 S Wisconsin Ave
Rice Lake, WI 54868
Phone (608) 341-9636

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: mwalczak38026@oakleafmed.gardenplot.direct-ci.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1871291906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688578",
            "telephone_number": "715-997-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "MARISSA",
        "middle_name": "LORENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13864-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1700 W Stout St",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548685000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

Verify at the official NPI Registry.