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Active NPI 1063631083 Individual Practitioner Female Practitioner

Malissa R Wightman , RN, APNP

Nurse Practitioner - Pediatrics • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Malissa Wightman, RN, APNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Beloit, WI. Practice services are available at 2825 PRAIRIE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2825 Prairie Ave

Beloit, WI 535111844

Telephone 6083635500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Beloit, WI (408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WI 1069

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License WI 113626

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
43880300 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Alyssa Tranchita , FNP

Nurse Practitioner - Family

NPI 1043927734

Family Nurse Practitioner

NPI 1124366265
Dr. Elana Wistrom , DO

Obstetrics & Gynecology

NPI 1134376486

Doctor of Osteopathic Medicine (D.O.)

NPI 1386677078

Doctor of Medicine (M.D.)

Dr. Erika Bourdeaux , DNP, RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1487196895

Doctor of Nursing Practice, Registered Nurse, CPNPPC

Cristine Platts , OT

Occupational Therapist

NPI 1659316040

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2825 PRAIRIE AVE, BELOIT, WI 535111844 (Tel: 6083635500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2825 PRAIRIE AVE, BELOIT, WI 535111844 (Tel: 6083635500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MALISSA WIGHTMAN, RN, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #1069 in WI)

🟢
Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063631083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2825 Prairie Ave

Beloit, WI 535111844

Phone: 6083635500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.