Mrs Kim Marie Willison, APNP | |
2105 E Enterprise Ave, Ste 111, Appleton, WI 54913 | |
(920) 731-6611 | |
(920) 731-6732 |
Full Name | Mrs Kim Marie Willison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 2105 E Enterprise Ave, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225080955 | NPI | - | NPPES |
41265800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2608 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oca, Sc | 8628089331 | 19 |
Entity Name | Oca, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003836867 PECOS PAC ID: 8628089331 Enrollment ID: O20060509000877 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kim Marie Willison, APNP 2105 E Enterprise Ave, Ste 111, Appleton, WI 54913 Ph: (920) 731-6611 | Mrs Kim Marie Willison, APNP 2105 E Enterprise Ave, Ste 111, Appleton, WI 54913 Ph: (920) 731-6611 |
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-reinke, APRN 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 | |
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 | |
Trisha Loehrke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915 Phone: 920-225-7875 |