Active NPI
Tanya Lynn Malek, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Oconto, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11134-33
- Practice address
- 820 Arbutus Ave
Oconto, WI 54153-2004 - Phone
- (920) 834-8833
- Fax
- (920) 834-8830
- NPI assigned
- Jan 15, 2015
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11134-33 | WI | Primary |
Addresses
Primary practice location
820 Arbutus Ave
Oconto, WI 54153-2004
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7210
Other practice location 1
301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 433-6073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020131682 | Other | AMERICAN NURSES CREDENTIALING CENTER |
Other names 1
- Tanya L Comyne
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Current | Accepting new patients | |
| SBH-Green Bay LLC | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Current | Accepting new patients |
Locations
1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- tmalek323534@direct.thedacare.org
- tmalek925216@direct.emplifyhealth.org
Organizations & group practices 6
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.
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Bellin Behavior Health Bellevue Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
-
dba Willow Creek Behavioral Health
- Psychiatric Hospital
- Green Bay, WI
- NPI 1922556778
-
dba Bellin Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Bellin Health
- Family Medicine Physician
- Oconto, WI
- NPI 1114579836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1063801975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22040",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052040",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ARBUTUS AVE",
"city": "OCONTO",
"state": "WI",
"postal_code": "541532004",
"telephone_number": "920-834-8833",
"fax_number": "920-834-8830"
}
],
"practiceLocations": [
{
"address_1": "301 E Saint Joseph St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543012241",
"country_code": "US",
"telephone_number": "920-433-6073",
"fax_number": "920-431-0333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALEK",
"first_name": "TANYA",
"middle_name": "LYNN",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "11134-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN NURSES CREDENTIALING CENTER",
"identifier": "2020131682",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "COMYNE",
"middle_name": "L",
"credential": "APNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oconto, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.