MAUREEN MACCONNELL (NPI# 1033524749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033524749 |
| Entity Type | Individual |
| Full Name | MAUREEN MACCONNELL |
| Credential | APNP |
| Practice Address |
1100 Lake View Dr Wausau WI 54403-6785 |
| Practice Telephone | 7158484600 |
| Practice Fax Number | 7158455398 |
| Mailing Telephone | 7158484600 |
| Mailing Fax Number | 7158455398 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 200775-30 | CT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5890 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 200775-30 | 01 |
| WI | 1033524749 | 05 | |
| WI | STATE LICENSE | 5890-33 | 01 |
| Street Address |
1100 LAKE VIEW DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-6785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609823509 | Barbara V Seiser | Nurse Practitioner | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-05-27 |
| 1457958449 | Chloe L Smith | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
| 1548867534 | Karly J Wisnosky | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
| 1073125282 | Lauren E Westermeier | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-08-19 |
| 1962011445 | Christina L Rivay | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
| 1356950851 | Holly J Jaecks | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
| 1376151035 | Francis S Stella | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-20 |
| 1851918569 | Heike I Szuszka | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-06-29 |
| 1316568561 | Sulayman Jobe | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-04-29 |
| 1912533225 | Rachel D Otto | Licensed Practical Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316401706 | Shawn Allen Fischer | Nurse Practitioner | 1810 N 2nd St, Wausau, WI 54403-3492 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.