JENNIFER M WACHOWIAK PMHNP-BC
NPI 1144108465
Nurse Practitioner - Psychiatric/Mental Health in Green Bay, WI

Q: What is Jennifer Wachowiak's NPI number?

The NPI number for Jennifer Wachowiak is 1144108465. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Q: What is Jennifer Wachowiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 25, 2025

1496 BELLEVUE ST STE 502, GREEN BAY, WI 54311(920) 264-3114(920) 932-3114 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer M Wachowiak Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M WACHOWIAK PMHNP-BC (NPI 1144108465) is an individual psychiatric/mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (17230-33) and active in the NPI registry since August 2025. She maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1144108465

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER M WACHOWIAKCredential: PMHNP-BC

Location Address1496 BELLEVUE ST STE 502Green Bay, WI 54311-4251

Mailing Address1496 Bellevue St Ste 502Green Bay, WI 54311-4251 · (920) 264-3114 · Fax (920) 932-3114

Phone(920) 264-3114

Fax(920) 932-3114

Sole ProprietorNo

Enumeration DateAugust 25, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1144108465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 17230-33

1496 BELLEVUE ST STE 502, Green Bay, WI 54311

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Secondary Practice Location 1

Location 1W3132 Van Roy RdAppleton, WI 54915-3930 · Phone (920) 264-0996 · Fax (920) 932-2114

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY ANN BERKOVITZ MED, LPC

Counselor (Professional)

1496 BELLEVUE ST STE 502
GREEN BAY, WI 54311

Brown County (920) 264-0996

JOANNA GNABASIK PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1496 BELLEVUE ST STE 502
GREEN BAY, WI 54311

Brown County (920) 264-0996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wachowiak's NPI number?

The NPI number for Jennifer Wachowiak is 1144108465. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Jennifer Wachowiak located?

Jennifer Wachowiak practices at 1496 Bellevue St Ste 502, Green Bay, WI 54311. The listed phone number is (920) 264-3114.

What is Jennifer Wachowiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Wachowiak was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.