Active NPI
Mary Ellen Soltys, RN SANE-A
- Registered Nurse
- Two Rivers, WI
National Provider Identifier
1114804804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 259044-30
- Practice address
- 5000 Memorial Dr
Two Rivers, WI 54241-3900 - Phone
- (920) 794-5000
- NPI assigned
- Aug 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 259044-30 | WI | Primary |
Addresses
Primary practice location
5000 Memorial Dr
Two Rivers, WI 54241-3900
Mailing address
4204 Springhill Dr
Manitowoc, WI 54220-3546
Phone (920) 860-9739
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259044-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1114804804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 SPRINGHILL DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203546",
"telephone_number": "920-860-9739",
"fax_number": "920-860-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 MEMORIAL DR",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542413900",
"telephone_number": "920-794-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTYS",
"first_name": "MARY ELLEN",
"name_prefix": "Mrs.",
"credential": "RN SANE-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-16",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "259044-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Two Rivers, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.