Katie Boerst, FNP | |
W5282 Amy Ave, Appleton, WI 54915-7233 | |
(920) 358-1900 | |
Not Available |
Full Name | Katie Boerst |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | W5282 Amy Ave, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154067239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 220741-30 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 13024-33 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Katie Boerst, FNP 414 W 5th St, Appleton, WI 54911-6006 Ph: (920) 764-0132 | Katie Boerst, FNP W5282 Amy Ave, Appleton, WI 54915-7233 Ph: (920) 358-1900 |
Ann M Hefter, AGACNP-BC, MSN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 | |
Dessia J Laxton, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-738-5369 | |
Katie Geiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913 Phone: 920-886-9380 | |
Ingrid K Simpson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-831-1867 | |
Lisa Valiquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-738-4600 Fax: 920-738-4792 | |
Kimberly A Romenesko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645 Fax: 920-735-7618 | |
Steven R Hamel, APN FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 |