Patrick Buranicz, DO
Individual provider Active NPI Family Medicine Physician · Green Bay, WI
NPI 1265095699 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1265095699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 81788-21 (WI)
- Practice address
- 2502 S Ashland Ave
Green Bay, WI 54304-5252 - Phone
- (920) 496-4700
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Practice addresses (Care Compare)
2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone (920) 496-4700
Hospital & facility affiliations
- HSHS Home Care Wisconsin
- St Marys Hospital Medical Ctr
- St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250403001114 | WI | Practitioner - Family Practice | 2567820889 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Family Medicine | Current | Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Family Medicine | Current |
Accepting new patients |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients |
Locations
1727 Shawano Ave
Green Bay, WI 54303
Phone (920) 431-1810
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2502 S Ashland Ave
Green Bay, WI 54304
Phone (920) 496-4750
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 81788-21 | WI | Yes |
Addresses
Primary practice location
2502 S Ashland Ave
Green Bay, WI 54304-5252
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100240322 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pburanicz393207@ewd.direct.hshs.org | Direct |
Other providers in Green Bay, WI
- Dyann Elizabeth Buechler
- McKenzie Buie-Morrow
- William R Buikus
- Building Resilience Counseling, LLC
- Bulin Pmhnp Health Services
- Samantha Jo Burch
- Daniel R. Burczak
- Christopher Burdick
- Amy J Buresh
- Brittany R Burg
All providers in Green Bay, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. 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.