| Roberta L Herrick, APRN | |
|
1700 W Stout St, Rice Lake, WI 54868-5000 | |
| (715) 236-8100 | |
| Not Available |
| Full Name | Roberta L Herrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1700 W Stout St, Rice Lake, 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 |
|---|---|---|---|
| 1386958676 | NPI | - | NPPES |
| 4017057 | Other | KY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4173 (Wisconsin) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4017057 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System-oakridge | Osseo, WI | Hospital |
| Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
| Marshfield Medical Center - Rice Lake | Rice lake, WI | Hospital |
| Mayo Clinic Health System In Eau Claire | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health Medical Group Inc | 0648255034 | 455 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta L Herrick, APRN Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-5222 | Roberta L Herrick, APRN 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
Lara Charity Stauner, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |
Riley Niebuhr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 |
Judith Ann Stanley, APNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 West Knapp St, Rice Lake, WI 54868 Phone: 715-236-4450 Fax: 715-236-1831 |
Kelly J Olson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |
Kayla Lynn Jenness, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |
Sabrina Alexis Bach, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |
Carol Matthys, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Cenex Dr, Suite J, Rice Lake, WI 54868 Phone: 715-234-7246 |