Corina L Gerczak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1960 Issued in WI

Practice address

1800 Lawrence Dr
De Pere, WI 54115

Phone

(920) 983-3220

Fax

(920) 983-3226

NPI assigned

Apr 4, 2006

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgerczak31005@direct.thedacare.org
• Direct secure messaging: cgerczak925859@direct.emplifyhealth.org

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.

• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473
  Medicare reassignment Care Compare group
• Green Bay Emergency Medicine Services S.C.

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1366424111
  Medicare reassignment
• Bellin Memorial Hospital Inc

  dba Bellin Health Cardiovascular and Thoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Green Bay, WI
  • NPI 1275874869
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health Heart and Vascular Oconto

  • Cardiovascular Disease Physician
  • Oconto, WI
  • NPI 1699926964
  NPD (past)

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

• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1821050105",
    "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": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LAWRENCE DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-983-3220",
            "fax_number": "920-983-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Mill St",
            "address_purpose": "LOCATION",
            "city": "Bonduel",
            "state": "WI",
            "postal_code": "541079246",
            "country_code": "US",
            "telephone_number": "715-758-2167",
            "fax_number": "715-758-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Custer St Ste D",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542204328",
            "country_code": "US",
            "telephone_number": "920-652-9310",
            "fax_number": "920-652-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Quality Ct",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "WI",
            "postal_code": "541809006",
            "country_code": "US",
            "telephone_number": "920-532-6320",
            "fax_number": "920-532-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 Parker Ave",
            "address_purpose": "LOCATION",
            "city": "Algoma",
            "state": "WI",
            "postal_code": "542011808",
            "country_code": "US",
            "telephone_number": "920-487-3676",
            "fax_number": "920-487-3084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Lineville Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543138836",
            "country_code": "US",
            "telephone_number": "920-434-3127",
            "fax_number": "920-434-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2430 E Mason St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543023759",
            "country_code": "US",
            "telephone_number": "920-406-9865",
            "fax_number": "920-406-9867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "fax_number": "920-592-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERCZAK",
        "first_name": "CORINA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1960-023",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hind Mirza Gautam, MD
• Holly Marie Gehri, OTR
• Rebecca Gehrmann, MD
• Allison Ann Gembel, CRNA
• Julie Ann George-Grosskopf, MD
• Nancy Catherine Gibbs, RN
• Shannon L Gilson, LCSW
• Courtney Gitter
• Kalin Glesner, RBT
• Kit Chelsea Clark Glogovsky, LPC-IT

• Physician Assistant in De Pere, WI
• Providers in De Pere, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.