Active NPI
Ellen A Radocay, APNP
- Family Nurse Practitioner
- Luxemburg, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5967-33
- Practice address
- 140B School Creek TRL
Luxemburg, WI 54217-1095 - Phone
- (920) 845-1370
- Fax
- (920) 845-1379
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 174211-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | 5967-33 | WI | Primary |
Addresses
Primary practice location
140B School Creek TRL
Luxemburg, WI 54217-1095
Mailing address
PO Box 22487
Green Bay
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
723 S Wisconsin St
Pulaski, WI 54162-9303
Phone (920) 822-1100
Other practice location 2
405 Commercial St
Seymour, WI 54165-8474
Phone (920) 833-2318
Other practice location 3
831 Parker St
Algoma
Algoma, WI 54201
Phone (920) 487-3676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13673570 | Other | CAQH | |
| F0814117 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Other names 1
- Ellen A Torzewski,Bonzell
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
831 Parker Ave
Algoma, WI 54201-1808
Phone (920) 433-3640
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174211-30 | WI | MD | Registered Nurse |
| 5967-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
2550 S Ashland Ave
Green Bay, WI 54304
Phone (920) 548-7337
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
140 School Creek Trl
#B
Luxemburg, WI 54217
Phone (920) 845-1370
723 S Wisconsin St
Pulaski, WI 54162
Phone (920) 822-1100
405 Commercial St
Seymour, WI 54165
Phone (920) 833-2318
555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700
Interoperability endpoints
- eradocay925490@direct.emplifyhealth.org
- ebonzell42853@direct.thedacare.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba Bellin Health Fast Care Marinette
- Family Medicine Physician
- Marinette, WI
- NPI 1881726529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1538575048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"address_2": "GREEN BAY",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140B SCHOOL CREEK TRL",
"city": "LUXEMBURG",
"state": "WI",
"postal_code": "542171095",
"telephone_number": "920-845-1370",
"fax_number": "920-845-1379"
}
],
"practiceLocations": [
{
"address_1": "723 S Wisconsin St",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "WI",
"postal_code": "541629303",
"country_code": "US",
"telephone_number": "920-822-1100",
"fax_number": "920-822-5731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Commercial St",
"address_purpose": "LOCATION",
"city": "Seymour",
"state": "WI",
"postal_code": "541658474",
"country_code": "US",
"telephone_number": "920-833-2318",
"fax_number": "920-833-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "831 Parker St",
"address_2": "Algoma",
"address_purpose": "LOCATION",
"city": "Algoma",
"state": "WI",
"postal_code": "54201",
"country_code": "US",
"telephone_number": "920-487-3676",
"fax_number": "920-487-3084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADOCAY",
"first_name": "ELLEN",
"middle_name": "A",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "174211-30",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "5967-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13673570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F0814117",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "TORZEWSKI,BONZELL",
"middle_name": "A",
"credential": "APNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Luxemburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.