TRACY C BLAUSER (NPI# 1790922748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922748 |
| Entity Type | Individual |
| Full Name | TRACY C BLAUSER |
| Practice Address |
5500 8th Ave Kenosha WI 53140-3700 |
| Practice Telephone | 2625640067 |
| Practice Fax Number | 2626521411 |
| Mailing Telephone | 2625640067 |
| Mailing Fax Number | 2626521411 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
5500 8TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043344146 | Bell Therapy Csp | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-03-14 |
| 1841514916 | Bell Therapy Associates | Community/Behavioral Health | 5500 8th Ave, Kenosha, WI 53140-3700 | 2010-03-18 |
| 1396970596 | Michelle Ann Gehring | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-05-18 |
| 1235376286 | Jezzel Davies | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-13 |
| 1497992838 | Jami J Detjens | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-07 |
| 1619154994 | Sherilyn Catherine De Fazio | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2008-01-29 |
| 1851578322 | Tina Marie Luchinski | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2008-01-28 |
| 1104011170 | Anna M Slawny | Social Worker | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-12 |
| 1770778136 | Amber Ruth Hill | Counselor | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-10 |
| 1598950123 | Nicholas Aaron Potter | Social Worker | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679854988 | Debra A Mcgrain | Case Manager/Care Coordinator | 6233 39th Avenue, Kenosha, WI 53142-7015 | 2011-08-31 |
| 1396970596 | Michelle Ann Gehring | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-05-18 |
| 1235376286 | Jezzel Davies | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-13 |
| 1497992838 | Jami J Detjens | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2009-01-07 |
| 1851578322 | Tina Marie Luchinski | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2008-01-28 |
| 1376747006 | Bell Therapy, Inc. | Case Manager/Care Coordinator | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508730 | Andrew Vale | Case Manager/Care Coordinator | 503 E Ives St Ste 201, Marshfield, WI 54449-1577 | 2020-11-06 |
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1134734338 | Alexis Young | Case Manager/Care Coordinator | 115 N 6th St Stop 1, Wausau, WI 54403-5519 | 2020-09-14 |
| 1750996518 | Prevale S Mclin | Case Manager/Care Coordinator | 6096 N Hopkins St, Milwaukee, WI 53209-3558 | 2020-09-09 |
| 1538771712 | Monet Smith | Case Manager/Care Coordinator | 5831 W Burleigh St, Milwaukee, WI 53210-1517 | 2020-08-19 |
| 1770195331 | Taylor Ann Halmstad | Case Manager/Care Coordinator | 1651 College Ave Apt 1, Stevens Point, WI 54481-3085 | 2020-08-17 |
| 1942811690 | Angelina Sheree Jones | Case Manager/Care Coordinator | 5248 N 26th St, Glendale, WI 53209-4927 | 2020-08-14 |
| 1174131973 | Dakisha Delaney | Case Manager/Care Coordinator | 2456 N 41st St, Milwaukee, WI 53210-2932 | 2020-07-17 |
| 1528686342 | Dejuana Farmer | Case Manager/Care Coordinator | 2868 N 41st St, Milwaukee, WI 53210-1810 | 2020-07-08 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
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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.