Individual provider Active NPI

Maryann Alyce Forsell, DMD

  • Dentist
  • Neillsville, WI
National Provider Identifier
1972095339
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001843-15 Issued in WI
Practice address
8 Boon Blvd
Neillsville, WI 54456-2176
Phone
(715) 743-1950
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001843-15 WI Primary

Addresses

Primary practice location

8 Boon Blvd
Neillsville, WI 54456-2176

Mailing address

PO Box 18298
Palatine, IL 60055-8298
Phone (888) 533-2684

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823003618 WI Order and Referring Only - DentistPractitioner - Dentist 0547519514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001843-15WIMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1972095339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18298",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558298",
            "telephone_number": "888-533-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOON BLVD",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562176",
            "telephone_number": "715-743-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSELL",
        "first_name": "MARYANN",
        "middle_name": "ALYCE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001843-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

Verify at the official NPI Registry.