MRS. MICHELLE M HERMES (NPI# 1396049649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396049649 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE M HERMES |
| Other Name | MICHELLE M HERMES-SAGER |
| Credential | RN, BSN |
| Practice Address |
2600 S Heritage Woods Dr Appleton WI 54915-1408 |
| Mailing Address |
112 E College Ave Appleton WI 54911-5741 |
| Practice Telephone | 9202257875 |
| Practice Fax Number | 9209935003 |
| Mailing Telephone | 9209963264 |
| Mailing Fax Number | 9208305970 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
144415-030 | WI | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8007 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Tri Park Way, Appleton, WI 549141658 | 9208310070 | 9208317939 |
| Street Address |
2600 S HERITAGE WOODS DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658595 | Ronald T Schreiber | Internal Medicine | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2005-09-06 |
| 1821637612 | Heather A Richardson | Physician Assistant | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2019-12-27 |
| 1710466693 | Taylor J Jacobs | Physical Therapist | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2018-08-10 |
| 1114432259 | Sarah A Truesdale | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2017-12-12 |
| 1720593213 | Dawn R Kempen | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2017-12-06 |
| 1558880070 | Michael L Mitchell | Registered Nurse | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2017-09-15 |
| 1568839009 | Rebecca J Philpot | Nurse Practitioner | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2015-09-01 |
| 1134465636 | Patricia Ann Angelucci | Nurse Practitioner | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2013-01-02 |
| 1649505371 | Andrea Gulmire | Speech-Language Pathologist | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2009-10-14 |
| 1760650287 | Peabody Manor | Skilled Nursing Facility | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2008-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427477868 | Krystal Alanna Schepp | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2014-04-14 |
| 1134465636 | Patricia Ann Angelucci | Nurse Practitioner | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615998 | Kathleen Ann Turck | Nurse Practitioner | 523 W Wilson St, Palmyra, WI 53156-9780 | 2020-07-06 |
| 1417405515 | Christine Leanne Peterson Watts | Nurse Practitioner | 4726 W Jenna Ct, Franklin, WI 53132-7602 | 2016-09-17 |
| 1902257991 | Andrea Schlidt | Nurse Practitioner | W62n1028 Fairhaven Ct, Cedarburg, WI 53012-1288 | 2016-06-30 |
| 1518360619 | Sarah Kathleen Holthe | Nurse Practitioner | 804 Evergreen Dr, Holmen, WI 54636-9145 | 2014-10-02 |
| 1235375544 | Dixie Lee Olson | Nurse Practitioner | 401 Finvold St, Woodville, WI 54028-9719 | 2008-12-17 |
| 1417123092 | Dementia Consultations LLC | Nurse Practitioner | 265 North Park Street, Richland Center, WI 53581-2208 | 2008-05-05 |
| 1457540171 | Kelly Ann Felmer | Nurse Practitioner | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2007-10-18 |
| 1376747261 | Christine Marie Dietrich | Nurse Practitioner | 303 W Upham St Ste 200, Marshfield, WI 54449-1483 | 2007-06-13 |
| 1730381591 | Pamela J Thul-immler | Nurse Practitioner | 9060 Madeline Lake Rd, Woodruff, WI 54568-9651 | 2007-06-04 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
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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.