Kay Susan Baranczyk, APNP
Individual provider Active NPI Family Nurse Practitioner · Menominee, MI
NPI 1073246138 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1073246138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704423090 (MI)
- Practice address
- 1110 10TH Ave
Menominee, MI 49858-3058 - Phone
- (906) 290-5000
- Fax
- (906) 372-3230
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper Great Lakes Family Health Center
Practice addresses (Care Compare)
1110 10TH Ave
Menominee, MI 49858-3058
Phone (906) 481-8586
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012001281 | WI | Practitioner - Nurse Practitioner | 5698141943 | Reassigns benefits to 1 organization |
| I20250102001646 | MI | Practitioner - Nurse Practitioner | 5698141943 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Upper Great Lakes Family Health Center | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Upper Great Lakes Family Health Center | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Upper Great Lakes Family Health Center | Current |
Accepting new patients | |
| Upper Great Lakes Family Health Center | Past | Accepting new patients | |
| N.E.W. Community Clinic, LTD | Past |
Accepting new patients |
Locations
301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924
135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275
1110 10th Ave
Menominee, MI 49858
Phone (906) 290-5000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1630 Commanche Ave
Ste 102
Green Bay, WI 54313
Phone (920) 433-6000
2015 Shawano Ave
Howard, WI 54303
Phone (920) 496-8110
Interoperability endpoints
- kbaranczyk891914@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704423090 | MI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F06220244 | Other | AANP |
Other names
- Kay Susan Hartman
Other providers in Menominee, MI
- Madelynn Anderson
- Marlene Ann Anderson
- Andrew J Thanos DDS PC
- Jessica Jeanette Arkens
- Kristine Marie Axtell
- Pearl Barker
- Rebecca Beauchamp
- Erin E Beckman
- John Owens Beldo
- Sherry Lynn Benson
All providers in Menominee, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.