Individual provider Active NPI

Katherine Meine, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oshkosh, WI
National Provider Identifier
1902136047
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4003 Issued in WI
Practice address
600 S Main St Ste 105
Oshkosh, WI 54902-6074
Phone
(920) 981-8610
Fax
(920) 567-3971
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 148839-32 WI
Registered Nurse 163W00000X 170811 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4003 WI Primary

Addresses

Primary practice location

600 S Main St Ste 105
Oshkosh, WI 54902-6074

Mailing address

600 S Main St Ste 105
Oshkosh, WI 54902-6074
Phone (920) 981-8610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@rootsandroadswellness.com Direct Roots and Roads Clinical Services LLC

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
I20250318000063 WI Practitioner - Nurse Practitioner 0547391948

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11000 Optum Cir
Eden Prairie, MN 55344-2503

855 N Westhaven Dr
Oshkosh, WI 54904-7668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170811WIMDRegistered Nurse
4003WIMDSpecialist
148839-32WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Roots and Roads Clinical Services LLC Psychiatric/Mental Health Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Dec 28, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Dec 28, 2024 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

12970 W Bluemound Rd
Ste 200
Elm Grove, WI 53122
Phone (262) 780-1020

946 N Van Buren St
Milwaukee, WI 53202
Phone (414) 276-4242

600 S Main St
Ste 105
Oshkosh, WI 54902
Phone (920) 981-8610

Interoperability endpoints

  • Direct secure messaging: katherine.meine.1@28621.direct.athenahealth.com

Organizations & group practices 4

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1902136047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 105",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026074",
            "telephone_number": "920-981-8610",
            "fax_number": "920-567-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 105",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026074",
            "telephone_number": "920-981-8610",
            "fax_number": "920-567-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINE",
        "first_name": "KATHERINE",
        "credential": "CNM, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "148839-32",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170811",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@rootsandroadswellness.com",
            "affiliation": "Y",
            "affiliationName": "Roots and Roads Clinical Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "600 S Main St Ste 105",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549026074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.