NPIMap

Individual provider Active NPI

Cally Gorski, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1730966672
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14515-33 Issued in WI
Practice address
1810 N 2ND St
Wausau, WI 54403-3492
Phone
(715) 848-4884
Fax
(715) 845-5385
NPI assigned
Sep 13, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14515-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14515-33 WI Primary

Addresses

Primary practice location

1810 N 2ND St
Wausau, WI 54403-3492

Mailing address

1810 N 2ND St
Wausau, WI 54403-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301002795 WI Practitioner - Nurse Practitioner 0941645766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Connection Health Care, Inc.Group PAC ID 3870577935, 9 clinicians

Practice addresses (Care Compare)

1810 N 2ND St
Wausau, WI 54403-3492
Phone (715) 848-4884

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14515WIMDPharmacist
14505WIMDNurse Practitioner
14515-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Connection Health Care, Inc. CurrentSince Aug 7, 2024 Accepting new patients

Locations

1810 N 2nd St
Wausau, WI 54403
Phone (715) 848-4884

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1730966672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033492",
            "fax_number": "715-845-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033492",
            "telephone_number": "715-848-4884",
            "fax_number": "715-845-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSKI",
        "first_name": "CALLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14515-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14515-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.