Individual provider Active NPI

Gina Lynn Huisman, MSN, APRN, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1104763887
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18256-33 Issued in WI
Practice address
4750 S 35TH St
Greenfield, WI 53221-2641
Phone
(262) 221-4460
NPI assigned
Apr 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18256-33 WI Primary

Addresses

Primary practice location

4750 S 35TH St
Greenfield, WI 53221-2641

Mailing address

4750 S 35TH St
Greenfield, WI 53221-2641

Other names 1

  • Gina Lynn Porcaro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
18256-33WIMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104763887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 S 35TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 S 35TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212641",
            "telephone_number": "262-221-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUISMAN",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "18256-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "PORCARO",
            "middle_name": "LYNN",
            "credential": "BSN, RN, PCCN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.