Active NPI
Marijo Ann Rommelfaenger, RN
- Registered Nurse
- Union Grove, WI
National Provider Identifier
1932373750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 71631-030
- Practice address
- 907 N Britton Rd
Union Grove, WI 53182-9331 - Phone
- (262) 878-4288
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 71631-030 | WI | Primary |
Addresses
Primary practice location
907 N Britton Rd
Union Grove, WI 53182-9331
Mailing address
907 N Britton Rd
Union Grove, WI 53182-9331
Phone (262) 878-4288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35044500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71631-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1932373750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 N BRITTON RD",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531829331",
"telephone_number": "262-878-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N BRITTON RD",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531829331",
"telephone_number": "262-878-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMMELFAENGER",
"first_name": "MARIJO",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "71631-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35044500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.