Individual provider Active NPI

Nanette Palay, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bayside, WI
National Provider Identifier
1871844639
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4996-33 Issued in WI
Practice address
8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633
Phone
(414) 216-3535
Fax
(414) 206-1231
NPI assigned
Sep 19, 2012
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4996-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4996-33 WI Primary

Addresses

Primary practice location

8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633

Mailing address

8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633
Phone (414) 216-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 23, 2025 through Jul 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4996-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medicine, LLC Current Accepting new patients

Locations

8989 N Port Washington Rd
Ste 211
Bayside, WI 53217
Phone (414) 216-3535

1500 W Market St
Ste 200
Mequon, WI 53092
Phone (262) 241-5955

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1871844639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD STE 211",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171633",
            "telephone_number": "414-216-3535",
            "fax_number": "414-206-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD STE 211",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171633",
            "telephone_number": "414-216-3535",
            "fax_number": "414-206-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAY",
        "first_name": "NANETTE",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "4996-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "4996-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, WI

Sources for this page

Verify at the official NPI Registry.