Active NPI
Kris L Barrette, APNP
- Family Nurse Practitioner
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5900-33
- Practice address
- 1976 Lime Kiln Rd
Green Bay, WI 54311-4417 - Phone
- (920) 445-7377
- Fax
- (920) 592-9479
- NPI assigned
- Jul 3, 2014
- Last updated
- Jun 14, 2022
- 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 | 5900-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 5900-33 | WI | Primary |
Addresses
Primary practice location
1976 Lime Kiln Rd
Green Bay, WI 54311-4417
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
301 Bay Park Sq
Green Bay, WI 54304-5104
Phone (920) 592-9475
Other practice location 2
2015 Shawano Ave
Green Bay, WI 54303-2606
Phone (920) 592-9478
Other practice location 3
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0714041 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Other names 1
- Kris L Vanfrachen
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5900-33 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2015 Shawano Ave
Howard, WI 54303
Phone (920) 496-8110
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- kbarrette917013@direct.emplifyhealth.org
Organizations & group practices 5
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 Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Physical Therapy-Marinette
- Physical Medicine & Rehabilitation Physician
- Marinette, WI
- NPI 1285696823
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Emplify Health Oconto Clinic
- Rural Health Clinic/Center
- Oconto, WI
- NPI 1609018589
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": "1655164800000",
"number": "1689080277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"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": "1976 LIME KILN RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543114417",
"telephone_number": "920-445-7377",
"fax_number": "920-592-9479"
}
],
"practiceLocations": [
{
"address_1": "301 Bay Park Sq",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543045104",
"country_code": "US",
"telephone_number": "920-592-9475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Shawano Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543032606",
"country_code": "US",
"telephone_number": "920-592-9478",
"fax_number": "920-592-9479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"fax_number": "715-735-5388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETTE",
"first_name": "KRIS",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5900-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "5900-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F0714041",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "VANFRACHEN",
"middle_name": "L",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.