Individual provider Active NPI

Melissa Marie Hamachek, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1619896099
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18684-33 Issued in WI
Practice address
1048 Glory Rd Ste a
Green Bay, WI 54304-5664
Phone
(920) 238-8155
Fax
(920) 214-1259
NPI assigned
Jul 10, 2026
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18684-33 WI Primary

Addresses

Primary practice location

1048 Glory Rd Ste a
Green Bay, WI 54304-5664

Mailing address

1048 Glory Rd Ste a
Green Bay, WI 54304-5664
Phone (920) 238-8155

Other practice location 1

30 N 18th Ave Ste 10B
Sturgeon Bay, WI 54235-3207
Phone (920) 238-8155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18684-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Psychiatry of Wisconsin LLC Psychiatric/Mental Health PastSince Jun 15, 2025 Accepting new patients

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": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1619896099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 GLORY RD STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045664",
            "telephone_number": "920-238-8155",
            "fax_number": "920-214-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 GLORY RD STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045664",
            "telephone_number": "920-238-8155",
            "fax_number": "920-214-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 18th Ave Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Sturgeon Bay",
            "state": "WI",
            "postal_code": "542353207",
            "country_code": "US",
            "telephone_number": "920-238-8155",
            "fax_number": "920-214-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMACHEK",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "18684-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.