Payton Liegel
Payton Liegel is a Nurse Practitioner in Portage, Wisconsin. Qualified in 2022, 4 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 4
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
2817 New Pinery RdPortage, WI 53901-9240
Phone: (608) 742-4131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 13107-33 (WI) |
|---|
Record details
| NPI number | 1851012769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 8, 2022 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | September 8, 2022 |
| Mailing address | 2817 New Pinery Rd, Portage, WI 53901-9240 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Divine Savior Healthcare Inc — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Portage
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Stephanie Jo Holt, NP
2817 New Pinery Rd, Portage, WI 53901-9240 · (608) 742-4131
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Megan Kristina Klarner, NP
2817 New Pinery Rd, Portage, WI 53901-9240 · (608) 742-4131
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Andrea J Langan, APNP
2825 Hunters Trl, Portage, WI 53901-3429 · (608) 742-7161
-
Tsering Lhamo, NP
2817 New Pinery Rd, Portage, WI 53901-9240 · (608) 742-4131
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Amanda McConville
2901 Hunters Trl, Portage, WI 53901-3403 · (608) 742-5518
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Laura L Noonan, APNP
2817 New Pinery Rd, Portage, WI 53901-9240 · (608) 745-5603
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Amanda Oyen, APNP
2815 New Pinery Rd, Portage, WI 53901-9257 · (715) 847-2812
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Mr. James M Swan Jr., APNP
2817 New Pinery Road Divine Savior Healthcare Inc, Portage, WI 53901-0387 · (608) 742-4131