Joanna Gnabasik, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15457 Issued in WI

Practice address

1496 Bellevue St Ste 502
Green Bay, WI 54311-4251

Phone

(920) 264-0996

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

SBH-Green Bay LLCGroup PAC ID 7517248198, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SBH-Green Bay LLC

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1922556778

  Single Specialty

  Medicare reassignment Care Compare group NPD
• The Att Center LTD

  • Mental Health Counselor
  • De Pere, WI
  • NPI 1013621804
  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1467280685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 ELAINE DR",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542358931",
            "telephone_number": "920-421-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 BELLEVUE ST STE 502",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114251",
            "telephone_number": "920-264-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNABASIK",
        "first_name": "JOANNA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Glime, D.D.S.
• Bonnie Gene Glinski, PA
• Julie Ann Gloede Phelps, ATC
• Karen Glogauerreich
• Anthony M Gloudemans, PT
• Eric James Goddeyne, PA-C
• Steven Godfrey
• Andrew S. Godin, PA-C
• Marcy L Godlewski, NP
• Robert John Goelz, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.