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DR. MARY K GATZKE DNP
NPI 1205823630
Nurse Practitioner - Gerontology in Watertown, WI

Active since September 30, 2005
W5726 COUNTY T, WATERTOWN, WI 53094(920) 253-6582 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Aug 15, 2016 (2 updates tracked since 2016).

About Dr. Mary K Gatzke Dnp NPPES

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

DR. MARY K GATZKE DNP (NPI 1205823630) is an individual gerontology provider in Watertown, Wisconsin, licensed in Wisconsin (2426-33) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1205823630
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDR. MARY K GATZKECredential: DNP
Location AddressW5726 COUNTY TWatertown, WI 53094-9140
Mailing AddressW5726 County TWatertown, WI 53094-9140 · (920) 253-6582
Phone(920) 253-6582
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1205823630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 2426-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704241650 (MI), 2426033 (WI)
W5726 COUNTY T, Watertown, WI 53094
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Other Identifiers 3

OtherN97840001MI · Medicaid
OtherP00124270WI · Rr - Medicare
Medicaid43999100WI

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 Mary Gatzke's NPI number?

The NPI number for Mary Gatzke is 1205823630. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Mary Gatzke located?

Mary Gatzke practices at W5726 County T, Watertown, WI 53094. The listed phone number is (920) 253-6582.

What is Mary Gatzke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary Gatzke was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.