Active NPI
Perry Hennessy, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1023808672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 16782-33
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Egg Harbor, WI
- NPI 1376438135
Psychiatric/Mental Health, WI
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wausau, WI
- NPI 1922173418
WI
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 LLCBCS of Wisconsin SC
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250708002104 | WI | Practitioner - Nurse Practitioner | 7618481144 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Psychiatry of Wisconsin LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Elmergreen Associates,LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16782-33 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.