ANGELENE K TIMMERMAN (NPI# 1265475966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265475966 |
| Entity Type | Individual |
| Full Name | ANGELENE K TIMMERMAN |
| Credential | CRNA |
| Practice Address |
240 Maple St Woodruff WI 54568-0470 |
| Mailing Address |
240 Maple St Po Box 470 Woodruff WI 54568-0470 |
| Practice Telephone | 7153568000 |
| Mailing Telephone | 7153568000 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 367500000X | Nurse Anesthetist, Certified Registered | 054444 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| X | 163W00000X | Registered Nurse | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 18100 | 05 |
| Street Address |
240 MAPLE ST |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-0470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572362 | Melissa M Rendlen | Family Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2006-01-12 |
| 1740890003 | Adam Tod Johnson | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2020-08-03 |
| 1396362463 | Carol Jean Reshan | Occupational Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2020-07-06 |
| 1700417805 | Renee Helen Barany | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2020-01-28 |
| 1053965822 | Elizabeth Lee Horwath | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2019-07-30 |
| 1740847029 | Erica Ann Bestul | Physician Assistant | 240 Maple St, Woodruff, WI 54568-9190 | 2019-05-22 |
| 1740718592 | Jeffrey R Jast | Family Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2017-05-24 |
| 1316207442 | Halley M Otto | Physical Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2012-05-23 |
| 1316213390 | Molly Kathryn Pilarski | Emergency Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2012-03-23 |
| 1386870012 | Caleb Terpstra | Physical Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2009-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275576977 | William E Schulte | Nurse Anesthetist, Certified Registered | 611 Veterans Parkway, Woodruff, WI 54568-1697 | 2006-06-13 |
| 1184955981 | Northwoods Anesthesia Associates, S. C. | Nurse Anesthetist, Certified Registered | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2010-01-19 |
| 1609051176 | Anesthesia Services of Northern Wisconsin Sc | Nurse Anesthetist, Certified Registered | 611 Veterans Parkway, Woodruff, WI 54568 | 2008-01-03 |
| 1619905452 | John Stapelman | Nurse Anesthetist, Certified Registered | 611 Veterans Parkway, Woodruff, WI 54568-0403 | 2006-06-29 |
| 1902833700 | David J Sell | Nurse Anesthetist, Certified Registered | 240 Maple St, Woodruff, WI 54568-0470 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
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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.