MARISSA PEDERSON (NPI# 1447865142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447865142 |
| Entity Type | Individual |
| Full Name | MARISSA PEDERSON |
| Credential | DNP, APNP, FNP-C |
| Practice Address |
1526 Rose St La Crosse WI 54603-4500 |
| Practice Telephone | 6087819880 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10360-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1526 ROSE ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264989 | Jeffrey W Mueller | Physician Assistant | 1526 Rose St, La Crosse, WI 54603-2245 | 2005-06-13 |
| 1881230548 | Lori Ann Miskell | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2019-11-18 |
| 1487062881 | Scoliosis Center of La Crosse, LLC | Chiropractor | 1526 Rose St, Suite 101, La Crosse, WI 54603-2245 | 2014-07-29 |
| 1851521884 | Katie R Stewart | Physician Assistant | 1526 Rose St, La Crosse, WI 54603-2245 | 2009-07-24 |
| 1003987652 | Breidenbach Family and Sports Chiropractic Inc | Chiropractor | 1526 Rose St, La Crosse, WI 54603-4500 | 2006-11-13 |
| 1578504692 | Jeffrey F Menn | Family Medicine | 1526 Rose St, La Crosse, WI 54603-2245 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| Find all providers in zip 54603 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295987 | Faith P Wagner | Nurse Practitioner | 2500 State Rd, La Crosse, WI 54601-5098 | 2005-06-16 |
| 1114538717 | Judith Michele Rausch | Nurse Practitioner | 916 Ferry St, La Crosse, WI 54601-4717 | 2020-08-17 |
| 1881230548 | Lori Ann Miskell | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2019-11-18 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1457908790 | Carly J Gerardy | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-08-21 |
| 1336791862 | Brookelyn R Kruger | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-07-15 |
| 1245791144 | Melanie Ann Bratcher | Nurse Practitioner | 1836 South Avenue, La Crosse, WI 54601 | 2019-03-25 |
| 1861962920 | Robyn Lynn Brown | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-12-03 |
| 1710469051 | Krista Jane Kirchner | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-09-04 |
| 1770063547 | Rebecca Jane Palmer | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-08-20 |
| Find all providers in LA CROSSE | ||||
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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.