Individual provider Active NPI

Josephine M McIntosh, APRN, CNP

  • Family Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1881797462
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-122356 Issued in IA
Practice address
2430 E Mason St
Green Bay, WI 54302-3759
Phone
(920) 445-7377
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R19389 ND
Family Nurse Practitioner 363LF0000X 4055 WI
Family Nurse Practitioner 363LF0000X 2536 MN
Family Nurse Practitioner 363LF0000X A-122356 IA Primary

Addresses

Primary practice location

2430 E Mason St
Green Bay, WI 54302-3759

Mailing address

N8931 County Road DK
Dyckesville, WI 54217-9685
Phone (701) 610-6169

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other identifiers 4

IdentifierTypeStateIssuer
0076372MedicaidIA
19534MedicaidND
P1200504OtherMNRR MEDICARE
15689OtherIAWELLMARK BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070216000601 TX Practitioner - Nurse Practitioner 5193751519 Reassigns benefits to 3 organizations
I20080613000502 MN Practitioner - Nurse Practitioner 5193751519 Reassigns benefits to 4 organizations
I20101022001231 WI Practitioner - Nurse Practitioner 5193751519 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perham Hospital DistrictGroup PAC ID 2264327766, shared by 5 NPIs, 40 clinicians

Practice addresses (Care Compare)

1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
91.62
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Merit-based Incentive Payment System (MIPS)

Final score
42.91 of 100Reported as group
Quality
5.54
Improvement activities
40
Cost
66.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2536MNMDMarriage & Family Therapist
4055WIMDChiropractor
A-122356IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc CurrentSince May 8, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 18, 2021 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jul 26, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Mile Bluff Medical Center Inc CurrentSince May 8, 2019 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Sep 30, 2019 Accepting new patients
Perham Hospital District CurrentSince Jul 14, 2017 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 1, 2025 Accepting new patients
Perham Hospital District Current Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Nov 7, 2022 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Perham Hospital District CurrentSince Jul 14, 2017 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Sep 30, 2019 Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Mahnomen Health Center Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

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

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: jmcintosh25804@direct.olmmed.org

Organizations & group practices 24

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 24

Hospital & facility affiliations 3

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1881797462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8931 COUNTY ROAD DK",
            "city": "DYCKESVILLE",
            "state": "WI",
            "postal_code": "542179685",
            "telephone_number": "701-610-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023759",
            "telephone_number": "920-445-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JOSEPHINE",
        "middle_name": "M",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R19389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-122356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076372",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19534",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P1200504",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "15689",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.