Active NPI
Danielle Rose Walsh, APNP
- Family Nurse Practitioner
- Two Rivers, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15857-33
- 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
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 |
|---|---|---|---|---|
| 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
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
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
Practice addresses (Care Compare)
1516 Washington St
Two Rivers, WI 54241-3045
Phone (920) 793-4573
Hospital & facility affiliations
- Bellin Memorial Hospital
- Aurora Medical Ctr Manitowoc County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15857-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Family Medicine Physician
- Luxemburg, WI
- NPI 1295797975
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Peshtigo, WI
- NPI 1649628249
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.