Active NPI
Tony Maul
- Nurse Practitioner
- Eau Claire, WI
National Provider Identifier
1962823120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9144
- Practice address
- 1221 Whipple St
Eau Claire, WI 54703 - Phone
- (715) 838-5222
- NPI assigned
- Dec 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95000216 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | APN.0991646-NP | CO | |
| Nurse Practitioner | 363L00000X | 9144 | WI | Primary |
| Registered Nurse | 163W00000X | 95024148 | CA | |
| Registered Nurse | 163W00000X | RN0000190167 | TN | |
| Nurse Practitioner | 363L00000X | APN.0991646-NP | CO | |
| Registered Nurse | 163W00000X | RN.1631667 | CO |
Addresses
Primary practice location
1221 Whipple St
Eau Claire, WI 54703
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Other practice location 1
1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681
Other practice location 2
1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681
Other names 1
- Tony Maul
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 |
|---|---|---|---|
| 95024148 | CA | MD | Registered Nurse |
| RN.1631667 | CO | MD | Registered Nurse |
| RN0000190167 | TN | MD | Registered Nurse |
| APN.0991646-NP | CO | MD | Nurse Practitioner |
| 9144 | WI | MD | Nurse Practitioner |
| 95000216 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1962823120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 WHIPPLE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54703",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "1501 E 3rd St",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162815",
"country_code": "US",
"telephone_number": "970-874-7681",
"fax_number": "303-306-7753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 E 3rd St",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162815",
"country_code": "US",
"telephone_number": "970-874-7681",
"fax_number": "303-306-7753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAUL",
"first_name": "TONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-13",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000216",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "APN.0991646-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9144",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95024148",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000190167",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0991646-NP",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1631667",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "MAUL",
"credential": "FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.