ELLEN A RADOCAY (NPI# 1538575048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538575048 |
| Entity Type | Individual |
| Full Name | ELLEN A RADOCAY |
| Other Name | ELLEN A TORZEWSKI,BONZELL |
| Credential | APNP |
| Practice Address |
140b School Creek Trl Luxemburg WI 54217-1095 |
| Mailing Address |
Po Box 22487 Green Bay Green Bay WI 54305-2487 |
| Practice Telephone | 9208451370 |
| Practice Fax Number | 9208451379 |
| Mailing Telephone | 9204457210 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 174211-30 | WI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5967-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ACADEMY OF NURSE PRACTITIONERS | F0814117 | 01 | |
| CAQH | 13673570 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Commercial St, Seymour, WI 541658474 | 9208332318 | 9208336883 |
| 723 S Wisconsin St, Pulaski, WI 541629303 | 9208221100 | 9208225731 |
| 831 Parker St, Algoma, Algoma, WI 54201 | 9204873676 | 9204873084 |
| 140b School Creek Trl, Luxemburg, WI 542171095 | 9208451370 | 9208451379 |
| Street Address |
140B SCHOOL CREEK TRL |
| City | LUXEMBURG |
| State | WI |
| Zip Code | 54217-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252139 | Elyse Marie Engebose | Nurse Practitioner | 140b School Creek Trl, Luxemburg, WI 54217-1095 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093836058 | Patti Ann Zeitler | Registered Nurse | N6185 School Creek Trail, Luxemburg, WI 54217 | 2007-04-03 |
| 1851375786 | Cheryl A Rentmeester | Nurse Practitioner | 140 B School Creek Trail, Luxemburg, WI 54217 | 2005-12-05 |
| 1003011149 | Lisa Marie Noskowiak | Licensed Practical Nurse | N6185 School Creek Trail, Luxemburg, WI 54217 | 2007-06-19 |
| 1164556940 | Melissa A Hardwick | Registered Nurse | N6185 School Creek Trl, Luxemberg, WI 54217 | 2007-03-15 |
| 1235273293 | Luxemburg Emergency and Rescue Service Association | Ambulance | 331 Willow St, Luxemburg, WI 54217-0000 | 2007-02-16 |
| 1891983565 | Luxemburg Casco School District | Local Education Agency (LEA) | 112 N Main St, Luxemburg, WI 54217-1000 | 2007-10-09 |
| 1881882553 | School District of Algoma | Local Education Agency (LEA) | 112 N Main St, Luxemburg, WI 54217-1000 | 2007-10-09 |
| 1548367824 | Luxemburg Family Chiropractic, Sc | Chiropractor | 195 Center Dr, Suite 102, Luxemburg, WI 54217-1016 | 2006-09-20 |
| 1114119575 | P&j Oaks | Assisted Living Facility | 409 3rd St, Luxemburg, WI 54217-1023 | 2007-08-09 |
| 1871638254 | Abc Family Dental Services, S.c. | Dentist | 613 Center Dr, Luxemburg, WI 54217-1031 | 2007-02-21 |
| Find all providers in zip 54217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878484 | Sara Degrand | Nurse Practitioner | 101 School Creek Trl, Luxemburg, WI 54217-1095 | 2016-05-05 |
| 1609252139 | Elyse Marie Engebose | Nurse Practitioner | 140b School Creek Trl, Luxemburg, WI 54217-1095 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.