Nathan Wallenfang
NP | Nurse Practitioner - Psych/Mental Health | 10+ years Exp
4061 Old Peshtigo Rd, Marinette
Wisconsin, 54143-3887
715-732-8100
Nathan Wallenfang is a Marinette, Wisconsin based nurse practitioner with 10 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: | 10+ 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 Number | Specialization | State | Status | |
| 6862 | Psych/Mental Health | Wisconsin | Primary | |
| 6862 | Nurse Practitioner | Wisconsin | Secondary | |
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.
| Identifier | Type | State | Issuer |
| 100059198 | Medicaid | Wisconsin | |
| 100159456 | Medicaid | Wisconsin | |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.