Patricia M Polfus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

278 Issued in WI

Practice address

1821 S Webster Ave
Green Bay, WI 54301-9070

Phone

(920) 338-6820

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)
• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD (past)
• Bellin Memorial Hospital Inc

  dba Bellin Health Heart and Vascular Oconto

  • Cardiovascular Disease Physician
  • Oconto, WI
  • NPI 1699926964
  NPD (past)
• Carlson Medical PC

  • Family Medicine Physician
  • Stephenson, MI
  • NPI 1811183163
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1144204082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543019070",
            "telephone_number": "920-338-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLFUS",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "278-033",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Podlasik, CRNA
• Jeannie Ann Poehls, PT
• Allison E Pohlman, LCSW
• Richard Poirier, D.O.
• Elizabeth Anne Polacheck, MD
• Harvey Dennis Poling, DDS
• Amy Lynn Polster, LPC
• Cathy A Polzin, RN
• Harsha Vardhan Poola, M.D
• Jennifer Anne Popies, AGACNP-BC, ACNS-BC

• Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.