Look up the most recent NPI and PECOS records

Olivia Ertmer

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763

PECOS Enrollment

Based on the most recent information from CMS, provider Olivia Ertmer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1992557565
Provider Type
Individual
Full Name
Ertmer, Olivia
Gender
Female

Sole Proprietor
No
Enumeration Date
4/4/2024
Last Updated
4/4/2024

Contact Information

Practice Location

100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763

(920) 725-4527

Unlisted Fax

Mailing Location

1850 Springbrook Rd, Omro, WI 54963-1812

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 15069 Wisconsin

Olivia Ertmer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Klein, Jill N

Tesch, Jodi Lynn

Schmidt, Debra

Henschel, Brooke A

Hoersch, Bonnie B

Barker, Mary Anne

Lederhaus, Kim N

Schmitz, Erin Renee

Heimmermann, Mary K

Schiesl, Linda L