Active NPI
Carol Ann Idso Eling, NP
- Nurse Practitioner
- Menomonee Falls, WI
National Provider Identifier
1942259122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 131295
- Practice address
- W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538 - Phone
- (262) 253-9220
- Fax
- (262) 253-9221
- NPI assigned
- May 8, 2006
- 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 | 131295 | WI | Primary |
Addresses
Primary practice location
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Mailing address
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (262) 253-9220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942259122 | Medicaid | WI | |
| 43888000 | 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131295 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Medical Clinic, S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Eau Claire, WI
- NPI 1568487171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1942259122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W129N7055 NORTHFIELD DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510538",
"telephone_number": "262-253-9220",
"fax_number": "262-253-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W129N7055 NORTHFIELD DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510538",
"telephone_number": "262-253-9220",
"fax_number": "262-253-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELING",
"first_name": "CAROL",
"middle_name": "ANN IDSO",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "131295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942259122",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43888000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.