Individual provider Active NPI

Terry L. Steege, NP

  • Nurse Practitioner
  • Ironwood, MI
National Provider Identifier
1982602751
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704148492 Issued in MI
Practice address
N10565 Grandview Lane
Ironwood, MI 49938-9622
Phone
(906) 932-1500
Fax
(906) 932-5091
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

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

LicenseStateTypeSpecialty
406WIMDAddiction (Substance Use Disorder) Counselor
4704148492MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vickers Eyecare, Inc PastSince Jul 1, 2020 Accepting new patients
Aspirus Grand View Service Corporation PastSince Jan 1, 1990 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. PastSince Jan 1, 1990 Accepting new patients
Aspirus Grand View Service Corporation PastSince Jan 1, 1990 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704148492 MI
Nurse Practitioner 363L00000X 4704148492 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

N10565 Grandview Lane
Ironwood, MI 49938-9622

Mailing address

N10565 Grandview Lane
Ironwood, MI 49938-9622
Phone (906) 932-1500

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
1029609OtherPREFERREDONE
4354089MedicaidMI
12D89WEOtherMNBCBS
43901600MedicaidWI
50-0-87-5391-0OtherMIBCBS
500875391OtherMIBCBS

Other names 1

NPPES NPI Registry
  • Terry L. Wennersten Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2010.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1982602751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10565 GRANDVIEW LANE",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1500",
            "fax_number": "906-932-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10565 GRANDVIEW LANE",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1500",
            "fax_number": "906-932-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEGE",
        "first_name": "TERRY",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704148492",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704148492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1029609",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4354089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12D89WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43901600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50-0-87-5391-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "500875391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "WENNERSTEN",
            "middle_name": "L.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ironwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.