KRISTEN J NICKELATTI (NPI# 1154704542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154704542 |
| Entity Type | Individual |
| Full Name | KRISTEN J NICKELATTI |
| Other Name | KRISTEN J SCHMIDT |
| Credential | APNP |
| Practice Address |
225 Memorial Dr Ste 2010 Berlin WI 54923-1243 |
| Mailing Address |
225 Memorial Drive Suite 2010 Berlin WI 54923-1243 |
| Practice Telephone | (920) 361-5975 |
| Practice Fax Number | 9203616339 |
| Mailing Telephone | (920) 361-5975 |
| Mailing Fax Number | 9203616339 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6423-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 MEMORIAL DR STE 2010 |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841496619 | Andrew Arthur Maes | Urology | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2007-06-26 |
| 1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1073082343 | Lynn Swanson | Nurse Practitioner | 534 Toll Gate Rd, Berlin, CT 06037-4007 | 2018-11-16 |
| 1801975750 | Jody L Halcott | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2006-11-03 |
| 1801869748 | Kathleen A Bryant | Nurse Practitioner | 246 Granger Rd, Suite 1, Berlin, VT 05602-9516 | 2006-02-10 |
| 1144707720 | Jordan Pearson Braniff | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2018-07-26 |
| 1063909398 | John A Hancock | Nurse Practitioner | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2018-04-23 |
| 1548630320 | Christine N Carriere | Nurse Practitioner | 225 Memorial Dr, Berlin, WI 54923-1243 | 2015-10-06 |
| 1336518778 | Russell Little | Nurse Practitioner | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2015-09-16 |
| 1851633499 | Tania Bellia-weiss | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2013-03-21 |
| Find all providers in BERLIN | ||||
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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.