Individual provider Active NPI

Barbara Ann Walla Omernik, RN

  • School Registered Nurse
  • Allouez, WI
National Provider Identifier
1679406177
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
147364-30 Issued in WI
Practice address
1920 Libal St
Allouez, WI 54301-2453
Phone
(920) 445-7373
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 147364-30 WI Primary

Addresses

Primary practice location

1920 Libal St
Allouez, WI 54301-2453

Mailing address

W3476 Hofa Park Rd
Pulaski, WI 54162-8478

Other practice location 1

411 Algoma St
Suring, WI 54174-9565
Phone (920) 842-2178

Other practice location 2

208 W Main St
Gillett, WI 54124-9371
Phone (920) 855-2137

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
147364-30WIMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Suring Public School District Past Accepting new patients
Gillett School District Past Accepting new patients

Organizations & group practices 2

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": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1679406177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3476 HOFA PARK RD",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541628478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 LIBAL ST",
            "city": "ALLOUEZ",
            "state": "WI",
            "postal_code": "543012453",
            "telephone_number": "920-445-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Algoma St",
            "address_purpose": "LOCATION",
            "city": "Suring",
            "state": "WI",
            "postal_code": "541749565",
            "country_code": "US",
            "telephone_number": "920-842-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gillett",
            "state": "WI",
            "postal_code": "541249371",
            "country_code": "US",
            "telephone_number": "920-855-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLA OMERNIK",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "147364-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allouez, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.