RENEE D EDGE (NPI# 1811364508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811364508 |
| Entity Type | Individual |
| Full Name | RENEE D EDGE |
| Credential | APNP |
| Practice Address |
9177 Old Potosi Rd Lancaster WI 53813-9437 |
| Mailing Address |
9177 Old Potosi Rd Po Box 271 Lancaster WI 53813-9437 |
| Practice Telephone | 6087234300 |
| Practice Fax Number | 6087237885 |
| Mailing Telephone | 6087234300 |
| Mailing Fax Number | 6087237885 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6604-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6604 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICE | 6604 | 01 |
| WI | AMERICAN NURSES CREDENTIALLING CENTER | 2015010721 | 01 |
| Street Address |
9177 OLD POTOSI RD |
| City | LANCASTER |
| State | WI |
| Zip Code | 53813-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467463273 | Robert E Stader | Family Medicine | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2006-08-10 |
| 1770078016 | Joseph Stader | Physician Assistant | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2018-06-28 |
| 1396239448 | Sabeena Kaur Cheema | Physician Assistant | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2018-06-20 |
| 1295854420 | Lancaster Family Medical Center S.c. | Clinic/Center | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2007-03-28 |
| 1982616942 | Michael Francis Metz | Physician Assistant | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1720251804 | Debra M Drew | Licensed Practical Nurse | 4192 Hudson Hallow Road, Lancaster, WI 53813 | 2008-04-09 |
| 1184966400 | Ian Stormont | Urology | 507 S Monroe St, Lancaster, WI 53813 | 2013-03-25 |
| 1831466705 | Katherine C Reuter | Nurse Practitioner | 507 S Monroe St, Lancaster, WI 53813 | 2011-11-21 |
| 1457656316 | Sarah K. Lipska | Social Worker | 200 W Alona Ln, Lancaster, WI 53813 | 2011-01-24 |
| 1164680443 | Tricia Lynn Vogelsberg | Occupational Therapist | 8800 Hwy 61, Lancaster, WI 53813 | 2008-05-23 |
| 1194056929 | Misty Landon | Licensed Practical Nurse | 438 N Harrison St, Lancaster, WI 53813-1021 | 2010-01-18 |
| 1760789648 | Sharla R Williams | Licensed Practical Nurse | 756 N Washington St Apt A, Lancaster, WI 53813-1071 | 2011-02-11 |
| 1790077501 | Sarah Mccartney | Registered Nurse | 933 W Elm St, Lancaster, WI 53813-1221 | 2011-05-11 |
| 1760806327 | Kathleen Schwantes | Licensed Practical Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-18 |
| Find all providers in zip 53813 | ||||
| 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 |
|---|---|---|---|---|
| 1740887579 | Jamie Lynn Michalski | Nurse Practitioner | 1331 W Avenue J # 101, Lancaster, CA 93534-2942 | 2020-10-05 |
| 1215579040 | Emily Outen Young | Nurse Practitioner | 1025 W Meeting St Suite 200, Lancaster, SC 29720-2246 | 2019-10-14 |
| 1447807904 | Sarah Ball | Nurse Practitioner | 2405 N Columbus St Ste 280, Lancaster, OH 43130-7946 | 2019-08-20 |
| 1972014769 | Zaydee Anne P Mercado | Nurse Practitioner | 1629 W Avenue J Ste 106, Lancaster, CA 93534-2851 | 2017-10-19 |
| 1518368059 | Kena S Williams | Nurse Practitioner | 43112 N. 15th St West, Kaiser Permanente, Lancaster, CA 93534 | 2014-09-15 |
| 1841624046 | Jennifer Lagare Hagerty | Nurse Practitioner | 335 East Avenue I, Lancaster, CA 93535 | 2013-08-25 |
| 1831451780 | Mary Oehler | Nurse Practitioner | 510 E Wheeling St, Lancaster, OH 43130-3822 | 2012-06-15 |
| 1285913277 | Katherine Shanon Mcquillan | Nurse Practitioner | 500 S Madison St Ste 1, Lancaster, WI 53813-2045 | 2011-08-09 |
| 1710052758 | Michelle April Nonnenmocher | Nurse Practitioner | 3488 Coronet Ave, Lancaster, PA 17601-1104 | 2006-11-22 |
| 1942398573 | Julie L. Hinton | Nurse Practitioner | 2104 Harrisburg Pike Ste 300, Lancaster, PA 17601-2644 | 2006-10-10 |
| Find all providers in LANCASTER | ||||
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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.