Individual provider Active NPI

Tyler Edward Spletzer, FNP-C

  • Family Nurse Practitioner
  • Marinette, WI
National Provider Identifier
1992053177
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
151338-030 Issued in WI
Practice address
2741 Roosevelt Rd
Marinette, WI 54143-3833
Phone
(715) 735-3627
NPI assigned
Aug 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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 151338-030 WI Primary

Addresses

Primary practice location

2741 Roosevelt Rd
Marinette, WI 54143-3833

Mailing address

2741 Roosevelt Rd
Marinette, WI 54143-3833
Phone (715) 735-3627

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
I20121024000145 WI Practitioner - Nurse Practitioner 5294985446 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clare Memorial Hospital, IncGroup PAC ID 0446211395, 62 clinicians

Practice addresses (Care Compare)

1300 E Green Bay St
Shawano, WI 54166-2210
Phone (920) 496-4700

14353 State Hwy 32 64
Mountain, WI 54149-9656
Phone (715) 276-1600

200 S Rosera St
Lena, WI 54139-9169
Phone (920) 829-6400

2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700

340 N Green Bay Ave
Gillett, WI 54124-9325
Phone (920) 855-2823

835 S Main St
Oconto Falls, WI 54154-1282

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

913 Main St
Suring, WI 54174-9012
Phone (920) 842-1147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4991WIMDAnesthesiology Physician
151338-030WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prevea Clinic, Inc. CurrentSince Sep 1, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2020 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Aug 1, 2014 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2020 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Sep 1, 2020 Accepting new patients
Prevea Clinic, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Community Memorial Hospital, Incorporated CurrentSince Aug 1, 2014 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Sep 1, 2020 Accepting new patients
St Clare Memorial Hospital, Inc. Past Accepting new patients
St Clare Memorial Hospital, Inc Past Accepting new patients

Locations

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

835 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-4864

855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444

620 Harper Ave
Peshtigo, WI 54157
Phone (715) 582-4148

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • FHIR API: https://eprescribe.sanfordhealth.org/FHIR/api/FHIR/R4/

Organizations & group practices 10

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 4

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": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1992053177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 ROOSEVELT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433833",
            "telephone_number": "715-735-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 ROOSEVELT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433833",
            "telephone_number": "715-735-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLETZER",
        "first_name": "TYLER",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "151338-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.