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

Teresa J Wiersma, NP

Individual provider Family Nurse Practitioner · NPI 1417931833

Teresa J Wiersma, NP is a Nurse Practitioner in Randolph, Wisconsin. Qualified in 2004, 22 years ago. Practices with Randolph Community Clinic SC, a 3-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

504 S High St
Randolph, WI 53956-1499
Phone: (920) 326-5060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 125502 (WI)

Record details

NPI number1417931833
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESSeptember 15, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Randolph Community Clinic Sc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount