Individual provider Active NPI

Paula Ann Neerdaels, RN

  • School Registered Nurse
  • Green Bay, WI
National Provider Identifier
1821926569
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
120440-30 Issued in WI
Practice address
1520 S Point Rd
Green Bay, WI 54313-5418
Phone
(920) 655-2206
Fax
(920) 272-7662
NPI assigned
May 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 120440-30 WI Primary

Addresses

Primary practice location

1520 S Point Rd
Green Bay, WI 54313-5418

Mailing address

1520 S Point Rd
Green Bay, WI 54313-5418
Phone (920) 655-2206

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
120440-30WIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1821926569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S POINT RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135418",
            "telephone_number": "920-655-2206",
            "fax_number": "920-272-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S POINT RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135418",
            "telephone_number": "920-655-2206",
            "fax_number": "920-272-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEERDAELS",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "120440-30",
            "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 May 12, 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.