| Mrs Kendra Niemuth, RN BSN | |
|
958 Foote St, Seymour, WI 54165-1044 | |
| (920) 833-9896 | |
| Not Available |
| Full Name | Mrs Kendra Niemuth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 958 Foote St, Seymour, 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 |
|---|---|---|---|
| 1407384241 | NPI | - | NPPES |
| 7736-33 | Other | WI | APNP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 190067-30 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 7736-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kendra Niemuth, RN BSN Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Mrs Kendra Niemuth, RN BSN 958 Foote St, Seymour, WI 54165-1044 Ph: (920) 833-9896 |
Tanya Louise Krause, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N6108 Moore Rd, Seymour, WI 54165 Phone: 920-370-3990 | |
Heather Lynn Lensmire, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 958 Foote St, Seymour, WI 54165 Phone: 920-655-1268 | |
Laura Swett, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 733 Woodside Dr, Seymour, WI 54165 Phone: 920-606-8728 | |
Malina Herber, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958 Foote St, Seymour, WI 54165 Phone: 920-496-4700 Fax: 920-496-4705 |