Active NPI
Heather Kristine Elertson, NP
- Nurse Practitioner
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9485
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (414) 646-2550
- NPI assigned
- Aug 12, 2019
- Last updated
- Jun 16, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9485 | WI | Primary |
| Family Nurse Practitioner | 363LF0000X | 9485-33 | WI |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
W2035 Auburn Ashford Dr
Campbellsport, WI 53010-3138
Phone (262) 305-1877
Other practice location 2
100 County Road B
Shawano, WI 54166-7072
Phone (715) 524-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097672 | Medicaid | WI |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 County Rd B
Shawano, WI 54166-7072
Phone (715) 526-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9485 | WI | MD | Nurse Practitioner |
| 9485-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
370 S Main St
Clintonville, WI 54929
Phone (715) 526-7370
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
Interoperability endpoints
- helertson286803@direct.thedacare.org
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba ThedaCare Apothecary-Shawano
- Community/Retail Pharmacy
- Shawano, WI
- NPI 1306516604
-
dba Community Health Network, Inc and Berlin Memorial Hospital
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1619523115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "414-646-2550"
}
],
"practiceLocations": [
{
"address_1": "W2035 Auburn Ashford Dr",
"address_purpose": "LOCATION",
"city": "Campbellsport",
"state": "WI",
"postal_code": "530103138",
"country_code": "US",
"telephone_number": "262-305-1877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 County Road B",
"address_purpose": "LOCATION",
"city": "Shawano",
"state": "WI",
"postal_code": "541667072",
"country_code": "US",
"telephone_number": "715-524-2161",
"fax_number": "715-526-3461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELERTSON",
"first_name": "HEATHER",
"middle_name": "KRISTINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9485",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9485-33",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097672",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.