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

Parker L Baerenwald

Individual provider Nurse Practitioner · NPI 1790662294

Parker L Baerenwald is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2025, 1 year ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1818 N Meade St
Appleton, WI 54911-3454
Phone: (800) 896-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 N Westhaven Dr, Oshkosh, WI 54904-6926 — (920) 237-5037
  • 100 County Road B, Shawano, WI 54166-7072 — (715) 524-2161

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17302 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 17302-33 (WI)

Record details

NPI number1790662294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton