Olivia Ertmer
Individual provider Active NPI Nurse Practitioner · Neenah, WI
NPI 1992557565 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1992557565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 15069 (WI)
- Practice address
- 100 Theda Clark Medical PLZ Ste 400
Neenah, WI 54956-2763 - Phone
- (920) 725-4527
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Surgical Associates of Neenah, S.C.
Practice addresses (Care Compare)
225 Memorial Dr
Suite 1010
Berlin, WI 54923-1243
Phone (920) 725-4527
Hospital & facility affiliations
- Thedacare Medical Center - Berlin Inc
- Thedacare Regional Med Ctr - Neenah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126001230 | WI | Practitioner - Nurse Practitioner | 3274068325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15069 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Neenah, S.C. | Current |
Accepting new patients |
Locations
225 Memorial Dr
Ste 1010
Berlin, WI 54923
Phone (920) 725-4527
100 Theda Clark Medical Plz
Ste 400
Neenah, WI 54956
Phone (414) 725-4527
100 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 722-7747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15069 | WI | Yes |
Addresses
Primary practice location
100 Theda Clark Medical PLZ Ste 400
Neenah, WI 54956-2763
Mailing address
1850 Springbrook Rd
Omro, WI 54963-1812
Other names
- Olivia Buehler
Other providers in Neenah, WI
- Emerald Ridge Assisted Living, LLC
- Empowerment Living Services
- Jeremiah Ennen
- Carrie Ann Erdmann
- Jenna Erickson
- Jill K Eschenbauch
- Esprit Counseling & Consulting
- Eternal Spring Natural Health Center
- Susan Evans
- Eye Clinic of the Fox Valley SC
All providers in Neenah, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.