MRS. CARISSA MARIE NEUMAN (NPI# 1467068031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467068031 |
| Entity Type | Individual |
| Full Name | MRS. CARISSA MARIE NEUMAN |
| Other Name | CARISSA M CYCHOSZ |
| Credential | A-GNP |
| Practice Address |
510 N 17th Ave Wausau WI 54401-4200 |
| Mailing Address |
510 N 17th Ave Ste A Wausau WI 54401-4254 |
| Practice Telephone | 7158427707 |
| Practice Fax Number | 7158429890 |
| Mailing Telephone | 4147361529 |
| Mailing Fax Number | 7158429890 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 10378-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 N 17TH AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524615 | Laurie Lee Wolf | Physical Medicine & Rehabilitation | 510 N 17th Ave, Suite A1, Wausau, WI 54401-4200 | 2005-08-09 |
| 1003105198 | Forefront Dermatology, S.c. | Pathology | 510 N 17th Ave, Suite C, Wausau, WI 54401 | 2011-03-30 |
| 1427369396 | Solomon Shockman | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2010-06-25 |
| 1043445620 | Aelayna Meyer | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134265739 | Russell W. Creel | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2007-01-30 |
| 1518577261 | Erica R Ciulla | Nurse Practitioner | 2720 Plaza Dr Ste 2100, Wausau, WI 54401-4157 | 2020-08-07 |
| 1740825926 | Denise Darlene Mcmahan | Nurse Practitioner | 3605 Stewart Ave, Wausau, WI 54401-4938 | 2019-11-12 |
| 1750848370 | Katie A Gilbert | Nurse Practitioner | 510 N 17th Ave Ste A, Wausau, WI 54401-4254 | 2019-03-01 |
| 1609340561 | Lisa Marie Werner | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2019-01-14 |
| 1134607781 | Jessika Jean Jamgochian | Nurse Practitioner | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2018-08-04 |
| 1265923098 | Jennifer Dorothy Yurish | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2018-05-29 |
| 1518471838 | Sara Belle Starr | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-11-22 |
| 1134664121 | Jennifer Young | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401 | 2016-12-29 |
| 1548613581 | Diane Mary Alber | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2016-07-14 |
| Find all providers in WAUSAU | ||||
Please comment or provide details below to improve the information on MRS. CARISSA MARIE NEUMAN.
| 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.