Nathan Wallenfang

NP | Nurse Practitioner - Psych/Mental Health | 9+ years Exp

4061 Old Peshtigo Rd, Marinette
  Wisconsin, 54143-3887
715-732-8100
Accepts Medicare Nurse Anesthetist in Marinette, Wisconsin.
Nathan Wallenfang is a Marinette, Wisconsin based nurse practitioner with 9 years of experience in Psych/Mental Health. He completed his graduation in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nathan Wallenfang is 6862 for Psych/Mental Health in Wisconsin. His current practice location is 4061 Old Peshtigo Rd, Marinette. Patients can reach him at 715-732-8100 or can fax him at 715-732-8007. Nathan Wallenfang is NP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1386090512.
Nathan Wallenfang provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Nathan Wallenfang speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Nathan Wallenfang
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: NP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:4061 Old Peshtigo Rd, Marinette,
Wisconsin, 54143-3887
Phone:715-732-8100
Fax:715-732-8007
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2062706757
Enrollment ID: I20160803000675
NPI Number: 1386090512
NPI Enumeration Date: 06 May, 2016
NPI Last Update On: 19 Mar, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nathan Wallenfang are as mentioned below.
License NumberSpecializationStateStatus
6862Psych/Mental Health WisconsinPrimary
6862Nurse Practitioner WisconsinSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Nathan Wallenfang is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Aurora Medical Group, Inc. (6709794258)2867
Advocate Health And Hospitals Corporation (7810800935)1814
Other Medical Identifiers:
Other legacy medical identifiers associated with Nathan Wallenfang such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100059198MedicaidWisconsin
100159456MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Nathan Wallenfang
Po Box 735044,
Chicago, Illinois
Zip: 60673-5044
Phone Number: 800-326-2250
Patients can reach Nathan Wallenfang at 4061 Old Peshtigo Rd, Marinette, Wisconsin or can call to book an appointment on 715-732-8100.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.