Malissa R Wightman, RN, APNP - Nurse Practitioner in Beloit, WI

Malissa R Wightman, RN, APNP is a Nurse Practitioner - Pediatrics based in Beloit, Wisconsin. Malissa R Wightman is licensed to practice in Wisconsin (license number 1069) and her current practice location is 2825 Prairie Ave, Beloit, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 363-5500.

NPI number for Malissa R Wightman is 1063631083 and her current mailing address is 2825 Prairie Ave, Beloit, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063631083.

Contact Information

Malissa R Wightman, RN, APNP
2825 Prairie Ave,
Beloit, WI 53511-1844
(608) 363-5500
Not Available



Provider's Profile

Full NameMalissa R Wightman
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2825 Prairie Ave, Beloit, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063631083
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Malissa R Wightman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063631083NPI-NPPES
43880300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 1069 (Wisconsin)Primary
363LP0200XNurse Practitioner - Pediatrics 113626 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malissa R Wightman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Malissa R Wightman, RN, APNP
2825 Prairie Ave,
Beloit, WI 53511-1844

Ph: (608) 363-5500
Malissa R Wightman, RN, APNP
2825 Prairie Ave,
Beloit, WI 53511-1844

Ph: (608) 363-5500

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› Verified 9 days ago


Nurse Practitioner Nurses in Beloit, WI

Madelene G. Hamann, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E Huebbe Pkwy, 1905 E. Huebbe Parkway, Beloit, WI 53511
Phone: 608-364-2240    Fax: 608-363-7374
R Christian Rhoads, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1768 Gateway Blvd Apt 607, Beloit, WI 53511
Phone: 815-978-0804    
Cynthia L Philpott, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511
Phone: 608-364-2400    Fax: 608-363-7389
Ms. Cindy I Damon, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E Huebbe Pkwy, Beloit Health System Inc, Beloit, WI 53511
Phone: 608-364-2200    Fax: 608-363-7395
Robert John Derby, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Beloit Clinic, 1905 E Huebbe Parkway, Beloit, WI 53511
Phone: 608-364-1640    Fax: 608-363-7393
Mrs. Tammy Jo Boxleitner, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1969 West Hart Road, Beloit Memorial Hospital, Inc., Beloit, WI 53511
Phone: 608-364-5011    

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