Individual provider Active NPI

Frank Gorichanaz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brown Deer, WI
National Provider Identifier
1538896410
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13051-33 Issued in WI
Practice address
4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Phone
(262) 362-8002
Fax
(414) 797-0804
NPI assigned
Aug 2, 2022
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13051-33 WI Primary
Registered Nurse 163W00000X 252125-30 WI

Addresses

Primary practice location

4555 W Schroeder Dr
Brown Deer, WI 53223-1475

Mailing address

4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Phone (262) 362-8002

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923003004 WI Practitioner - Nurse Practitioner 8729463997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252125-30WIMDRegistered Nurse
13051-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Sep 1, 2022 Accepting new patients

Locations

4555 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000

4600 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000

34700 Valley Rd
Oconomowoc, WI 53066

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1538896410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231475",
            "telephone_number": "262-362-8002",
            "fax_number": "262-646-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231475",
            "telephone_number": "262-362-8002",
            "fax_number": "414-797-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORICHANAZ",
        "first_name": "FRANK",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13051-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "252125-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

Verify at the official NPI Registry.