Active NPI
Teresa A Gonzaga, MD
- Plastic and Reconstructive Surgery Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 69135
- Practice address
- 2605 Development Dr
Green Bay, WI 54311-4240 - Phone
- (920) 288-8240
- Fax
- (920) 857-1488
- NPI assigned
- Jul 9, 2008
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 69135 | WI | Primary |
Addresses
Primary practice location
2605 Development Dr
Green Bay, WI 54311-4240
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-5151
Other practice location 2
245 S Executive Dr Ste 201
Brookfield, WI 53005-4204
Phone (414) 367-9646
Other practice location 3
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Arbor Way
Freedom, WI 54130-7305
Phone (920) 490-9046
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.21 of 100
- Quality
- 78.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69135 | WI | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Baycare Clinic LLP | Neurological Surgery | Current | Accepting new patients |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
1035 Kepler Dr
Green Bay, WI 54311
2605 Development Dr
Green Bay, WI 54311
Phone (920) 288-8240
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633
719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 13
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.
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
dba Marshfield Medical Center - Rice Lake Home Health
- Home Health Agency
- Rice Lake, WI
- NPI 1326139049
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1073776928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"telephone_number": "920-490-9046",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 DEVELOPMENT DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543114240",
"telephone_number": "920-288-8240",
"fax_number": "920-857-1488"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-5151",
"fax_number": "651-254-3123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 S Executive Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530054204",
"country_code": "US",
"telephone_number": "414-367-9646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "54701",
"country_code": "US",
"telephone_number": "715-858-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZAGA",
"first_name": "TERESA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WI",
"license": "69135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.