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

Theresa J Baseley, NP

Individual provider Nurse Practitioner · NPI 1043279805

Theresa J Baseley, NP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2004, 22 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone: (920) 907-7000
Fax: (920) 907-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 — (920) 926-8600

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2688-033 (WI)

Record details

NPI number1043279805
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

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 Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fond Du Lac