Individual provider Active NPI

Perry Hennessy, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1023808672
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16782-33 Issued in WI
Practice address
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Phone
(877) 906-9699
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Psychiatry of Wisconsin LLC 2 clinicians
BCS of Wisconsin SC 18 clinicians

Practice addresses (Care Compare)

1048 Glory Rd
Suite a
Green Bay, WI 54304-5664
Phone (920) 238-8155

2717 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1672
Phone (877) 906-9699

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708002104 WI Practitioner - Nurse Practitioner 7618481144 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Psychiatry of Wisconsin LLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Elmergreen Associates,LLC CurrentSince May 7, 2025 Accepting new patients

Locations

1048 Glory Rd
Ste A
Green Bay, WI 54304
Phone (920) 238-8155

114 Grand Ave
Wausau, WI 54403
Phone (715) 845-7175

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16782-33 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

11414 W Park PL Ste 202
Milwaukee, WI 53224-3500

Mailing address

5204 Mesker St
Weston, WI 54476-3019
Phone (715) 966-5046

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2026.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1023808672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 MESKER ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544763019",
            "telephone_number": "715-966-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243500",
            "telephone_number": "877-906-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "PERRY",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16782-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.