Individual provider Active NPI

Colleen Francine Langnese

  • Nurse Practitioner
  • Manitowoc, WI
National Provider Identifier
1427788439
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13040-33 Issued in WI
Practice address
508 S 26TH St
Manitowoc, WI 54220-3725
Phone
(920) 242-2822
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 169363 WI
Nurse Practitioner 363L00000X 13040-33 WI Primary

Addresses

Primary practice location

508 S 26TH St
Manitowoc, WI 54220-3725

Mailing address

508 S 26TH St
Manitowoc, WI 54220-3725
Phone (920) 242-2822

Other identifiers 1

IdentifierTypeStateIssuer
169363OtherWIREGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI, FL, SC, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220802002959 WI Practitioner - Nurse Practitioner 9931581378 Reassigns benefits to 1 organization
I20221021001526 MI Practitioner - Nurse Practitioner 9931581378 Reassigns benefits to 1 organization
I20240104003100 FL Practitioner - Nurse Practitioner 9931581378 Reassigns benefits to 1 organization
I20240821001711 SC Practitioner - Nurse Practitioner 9931581378 Reassigns benefits to 1 organization
I20251028003007 CA Practitioner - Nurse Practitioner 9931581378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

3546 Greenview CT
Reedsville, WI 54230-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
169363WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Oct 13, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: clangnese13624@direct-prd.molinahealthcare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1427788439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S 26TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203725",
            "telephone_number": "920-242-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S 26TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203725",
            "telephone_number": "920-242-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGNESE",
        "first_name": "COLLEEN",
        "middle_name": "FRANCINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "169363",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13040-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "169363",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.