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REGINA VAN GORDEN R.N., APNP, PMHNP
NPI 1194950204
Nurse Practitioner - Psychiatric/Mental Health in Waukesha, WI

Active since May 18, 2009PECOS Enrolled
403 N GRAND AVE # 101, WAUKESHA, WI 53186(262) 300-4948 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2024, Oct 17, 2023, Jun 16, 2023 and 2 more (5 updates tracked since 2023).

About Regina Van Gorden R.n., Apnp, Pmhnp NPPES

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

REGINA VAN GORDEN R.N., APNP, PMHNP (NPI 1194950204) is an individual psychiatric/mental health provider in Waukesha, Wisconsin, licensed in Wisconsin (13738) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194950204
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameREGINA VAN GORDENCredential: R.N., APNP, PMHNP
Location Address403 N GRAND AVE # 101Waukesha, WI 53186-4984
Mailing Address403 N Grand Ave # 101Waukesha, WI 53186-4984 · (262) 300-4948
Phone(262) 300-4948
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2009
Last NPPES UpdateMarch 7, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2024
✔ NPI 1194950204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 13738
Also ListedRegistered NurseTaxonomy 163W00000X · License 151058-30 (WI)
403 N GRAND AVE # 101, Waukesha, WI 53186
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regina Van Gorden R.n., Apnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981112794
PECOS Enrollment IDI20250804001355
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

IRONWOOD MENTAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
403 N GRAND AVE # 101
WAUKESHA, WI 53186
Waukesha County (262) 300-4948
COURTNEY SENK LPC, NCC
Counselor (Professional)
403 N GRAND AVE # 101
WAUKESHA, WI 53186
Waukesha County (262) 240-4055

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 Regina Van Gorden's NPI number?

The NPI number for Regina Van Gorden is 1194950204. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Regina Van Gorden located?

Regina Van Gorden practices at 403 N Grand Ave # 101, Waukesha, WI 53186. The listed phone number is (262) 300-4948.

What is Regina Van Gorden's specialty?

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

Is Regina Van Gorden enrolled in Medicare?

Yes. Regina Van Gorden is registered in the Medicare PECOS enrollment system.

What insurance does Regina Van Gorden accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Regina Van Gorden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regina Van Gorden was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.