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Active NPI 1164690418 Individual Practitioner Female Practitioner

Carly Nicole Anderson , LPN

Licensed Practical Nurse • Onalaska, WI

Professional Overview & Biography Verified Profile Summary

Carly Anderson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Onalaska, WI. Practice services are available at 522 VILAS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

522 Vilas St

Onalaska, WI 546502034

Telephone 6083861740

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Onalaska, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Onalaska, WI (1775 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 308381-31

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
35035700 (WI)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2008

Registered at 522 VILAS ST, ONALASKA, WI 546502034 (Tel: 6083861740)

📍
Updated Business Mailing Address February 20, 2008

Registered at 522 VILAS STREET, ONALASKA, WI 54650 (Tel: 6083861740)

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as CARLY ANDERSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Licensed Practical Nurse (License #308381-31 in WI)

🟢
Initial NPI Registration & Enumeration February 20, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164690418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2008
Last Update: February 20, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

522 Vilas Street

Onalaska, WI 54650

Phone: 6083861740

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.