Active NPI
Kerry Newbury, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Tomahawk, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 16267-33
- Practice address
- 401 W Mohawk Dr
Tomahawk, WI 54487-2274 - Phone
- (715) 453-7200
- NPI assigned
- Dec 13, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16267-33 | WI | Primary |
Addresses
Primary practice location
401 W Mohawk Dr
Tomahawk, WI 54487-2274
Mailing address
1203 Trimberger Ave
Tomahawk, WI 54487-2314
Phone (715) 661-0583
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414000558 | WI | Practitioner - Nurse Practitioner | 2264956168 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
401 W Mohawk Dr
Tomahawk, WI 54487-2274
Phone (715) 453-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16267-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
Interoperability endpoints
- knewbury362823@direct.aspirus.org
Organizations & group practices 17
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
- Stevens Point, WI
- NPI 1144991340
WI
-
- Clinic/Center
- Plover, WI
- NPI 1053080168
-
- Rural Health Clinic/Center
- Rhinelander, WI
- NPI 1598420218
-
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
-
- Clinic/Center
- Stevens Point, WI
- NPI 1306515671
-
- Clinic/Center
- Amherst, WI
- NPI 1316616428
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
-
- Family Medicine Physician
- Stevens Point, WI
- NPI 1336818608
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
-
- Clinic/Center
- Iola, WI
- NPI 1578232849
-
- Critical Access Hospital
- Tomahawk, WI
- NPI 1598715401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1942017876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 TRIMBERGER AVE",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544872314",
"telephone_number": "715-661-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MOHAWK DR",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544872274",
"telephone_number": "715-453-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBURY",
"first_name": "KERRY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "16267-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.