Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Dodge, DNPAPRN

Individual provider Registered Nurse · NPI 1710558630

Emily Dodge, DNPAPRN is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with Fox Valley Surgical Associates Ltd, a 35-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

2500 E Capitol Dr Ste 1700
Appleton, WI 54911-8735
Phone: (920) 731-8131
Fax: (920) 832-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 762335 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 225906 (WI)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 548887 (WI)

Record details

NPI number1710558630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPAPRN
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address2000 E Milestone Dr, Appleton, WI 54913-6701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fox Valley Surgical Associates Ltd — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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