Individual provider Active NPI

Kay Susan Baranczyk, APNP

  • Family Nurse Practitioner
  • Menominee, MI
National Provider Identifier
1073246138
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704423090 Issued in MI
Practice address
1110 10TH Ave
Menominee, MI 49858-3058
Phone
(906) 290-5000
Fax
(906) 372-3230
NPI assigned
Jul 6, 2022
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704423090 MI Primary

Addresses

Primary practice location

1110 10TH Ave
Menominee, MI 49858-3058

Mailing address

135 E M35
Gwinn, MI 49841-9160
Phone (906) 290-5000

Other names 1

  • Kay Susan Hartman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221012001281 WI Practitioner - Nurse Practitioner 5698141943 Reassigns benefits to 1 organization
I20250102001646 MI Practitioner - Nurse Practitioner 5698141943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1110 10TH Ave
Menominee, MI 49858-3058
Phone (906) 481-8586

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704423090MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Sep 28, 2022 Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Jan 1, 2025 Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Jan 1, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 28, 2022 Accepting new patients
Upper Great Lakes Family Health Center Current Accepting new patients
N.E.W. Community Clinic, LTD PastSince Jul 1, 2022 Accepting new patients
Upper Great Lakes Family Health Center Past Accepting new patients

Locations

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

1110 10th Ave
Menominee, MI 49858
Phone (906) 290-5000

1630 Commanche Ave
Ste 102
Green Bay, WI 54313
Phone (920) 430-4700

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2015 Shawano Ave
Howard, WI 54303
Phone (920) 496-8110

Interoperability endpoints

  • Direct secure messaging: kbaranczyk891914@direct.emplifyhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1073246138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E M35",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498419160",
            "telephone_number": "906-290-5000",
            "fax_number": "906-372-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 10TH AVE",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583058",
            "telephone_number": "906-290-5000",
            "fax_number": "906-372-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANCZYK",
        "first_name": "KAY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704423090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "HARTMAN",
            "middle_name": "SUSAN",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menominee, MI

Sources for this page

Verify at the official NPI Registry.