| NPI | 1174958193 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2013-09-10 |
| Last Updated | 2026-03-16 |
| Mailing Address | Po Box 735044 Chicago, IL 60673-5044 United States Phone: (800) 326-2250 📍 View Map |
| Primary Practice Address | 5300 Memorial Dr Two Rivers, WI 54241 United States Phone: (920) 793-7420 | Fax: (920) 793-7430 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 100065260 | - |
| MEDICAID | WI | 100065388 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363L00000X – Nurse Practitioner | WI | 5420-33 |
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | WI | 5420 |
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About NPI 1174958193
Erica L Dessart NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174958193. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Two Rivers, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-09-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174958193?
NPI 1174958193 belongs to Erica L Dessart NP, a Nurse Practitioner, Psych/Mental Health in Two Rivers, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174958193 active?
The current status of NPI 1174958193 in the NPPES registry is Active. The record was last updated on 2026-03-16.
What specialty is NPI 1174958193?
NPI 1174958193 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174958193?
You can verify NPI 1174958193 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174958193?
The primary practice address on file for NPI 1174958193 is 5300 Memorial Dr, Two Rivers, WI 54241. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174958193 issued?
NPI 1174958193 was first issued (enumerated) on 2013-09-10. The NPPES record was last updated on 2026-03-16.
Practice Location Map
Erica L Dessart is located at 5300 Memorial Dr, Two Rivers, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Erica L Dessart. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174958193. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 5420-33 | WI |
| Nurse Practitioner, Psych/Mental Health | 5420 | WI |