Individual provider Active NPI

Danielle Rose Walsh, APNP

  • Family Nurse Practitioner
  • Two Rivers, WI
National Provider Identifier
1982437208
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15857-33 Issued in WI
Practice address
1516 Washington St
Two Rivers, WI 54241-3045
Phone
(920) 793-4573
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15857-33 WI Primary

Addresses

Primary practice location

1516 Washington St
Two Rivers, WI 54241-3045

Mailing address

1636 Lindale LN
Green Bay, WI 54313-5511

Other practice location 1

555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320

Other practice location 2

595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005

Other names 1

  • Danielle Rose Tadyshak Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000608 WI Practitioner - Nurse Practitioner 0244771574 Reassigns benefits to 2 organizations

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
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

1516 Washington St
Two Rivers, WI 54241-3045
Phone (920) 793-4573

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Aurora Medical Ctr Manitowoc County Hospital, Two Rivers, WI, CCN 520034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15857-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

595 R Rd
Denmark, WI 54208
Phone (920) 863-2005

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1516 Washington St
Two Rivers, WI 54241
Phone (920) 731-3111

555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700

Interoperability endpoints

  • Direct secure messaging: dwalsh916793@direct.emplifyhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1982437208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 LINDALE LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 WASHINGTON ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413045",
            "telephone_number": "920-793-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Quality Ct",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "WI",
            "postal_code": "541809006",
            "country_code": "US",
            "telephone_number": "920-532-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 County Road R",
            "address_purpose": "LOCATION",
            "city": "Denmark",
            "state": "WI",
            "postal_code": "542089120",
            "country_code": "US",
            "telephone_number": "920-863-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DANIELLE",
        "middle_name": "ROSE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15857-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "TADYSHAK",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Two Rivers, WI

Sources for this page

Verify at the official NPI Registry.