Active NPI
Heather A Pelock Hjelle, APNP BC
- Nurse Practitioner
- Rhinelander, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 323833
- Practice address
- 1630 Chippewa Dr
Rhinelander, WI 54501-9503 - Phone
- (715) 361-5480
- Fax
- (715) 361-5499
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 323833 | WI | Primary |
Addresses
Primary practice location
1630 Chippewa Dr
Rhinelander, WI 54501-9503
Mailing address
1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323833 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 3
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.
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Clinic/Center
- Edgar, WI
- NPI 1447580725
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1932396959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 CHIPPEWA DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545019503",
"telephone_number": "715-361-5480",
"fax_number": "715-361-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 CHIPPEWA DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545019503",
"telephone_number": "715-361-5480",
"fax_number": "715-361-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOCK HJELLE",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "APNP BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "323833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.