IndividualActive
Connie Worm
NPI 1104044395 · Nurse Practitioner · Sheboygan, WI
Connie Worm is a Nurse Practitioner provider in Sheboygan, WI (NPI 1104044395).
Provider details
- NPI number
- 1104044395
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 86329-030 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2108 Kohler Memorial Dr
Sheboygan, WI 53081-3100
Phone: (920) 458-9401
Fax: (920) 458-8801
Street-level locationGet directions
Mailing address
3532 N 21st St
Sheboygan, WI 53083-2807
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Connie Worm's NPI number?
- Connie Worm's National Provider Identifier (NPI) is 1104044395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connie Worm's specialty?
- Connie Worm is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Connie Worm located?
- Connie Worm's practice location on file with NPPES is 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100.
- What is Connie Worm's phone number?
- The practice phone number listed in the NPPES registry for Connie Worm is (920) 458-9401.
- Is Connie Worm's NPI active?
- Yes — Connie Worm's NPI (1104044395) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.