Individual provider Active NPI

Gina G Negrette, MD

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1023131240
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5214820 Issued in WI
Practice address
820 N Plankinton Ave
Milwaukee, WI 53203
Phone
(414) 273-1991
NPI assigned
Apr 10, 2007
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5214820 WI Primary

Addresses

Primary practice location

820 N Plankinton Ave
Milwaukee, WI 53203

Mailing address

345 W Ravine Baye Rd
Bayside, WI 53217-1336
Phone (262) 751-3730

Other practice location 1

345 W Ravine Baye Rd
Bayside, WI 53217-1336
Phone (262) 751-3730

Other practice location 2

827 N Cass St
Milwaukee, WI 53202-3908
Phone (414) 671-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000596 WI Practitioner - PsychiatryPractitioner - General Practice 8123174273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5214820WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Jun 28, 2023 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Tulaya Wellness Corp Past Accepting new patients

Locations

W6144 Aerotech Dr
Appleton, WI 54914
Phone (920) 921-3343

12970 W Bluemound Rd
Ste 200
Elm Grove, WI 53122
Phone (262) 780-1020

946 N Van Buren St
Milwaukee, WI 53202
Phone (414) 276-4242

Interoperability endpoints

  • Direct secure messaging: gnegrette271524@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1023131240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W RAVINE BAYE RD",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171336",
            "telephone_number": "262-751-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53203",
            "telephone_number": "414-273-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 W Ravine Baye Rd",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "WI",
            "postal_code": "532171336",
            "country_code": "US",
            "telephone_number": "262-751-3730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 N Cass St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532023908",
            "country_code": "US",
            "telephone_number": "414-671-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRETTE",
        "first_name": "GINA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "5214820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.