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EVOLVE PSYCHIATRY AND WELLNESS
NPI 1275369647
Psychiatry & Neurology - Psychiatry in Okauchee, WI

Active since September 11, 2024
N51W34306 PARK BAY RD, OKAUCHEE, WI 53069(414) 531-2933 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evolve Psychiatry And Wellness NPPES

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

EVOLVE PSYCHIATRY AND WELLNESS (NPI 1275369647) is a healthcare organization registered as a psychiatry in Okauchee, Wisconsin and active in the NPI registry since September 2024. The organization lists Abby Jean Baneck, Ceo, Provider, as its authorized official.

NPPES Registry Identity

NPI1275369647
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameEVOLVE PSYCHIATRY AND WELLNESS
Location AddressN51W34306 PARK BAY RDOkauchee, WI 53069-9712
Mailing AddressN51w34306 Park Bay RdOkauchee, WI 53069-9712 · (414) 531-2933
Phone(414) 531-2933
Organization SubpartNo
Authorized OfficialAbby Jean BaneckCeo, Provider · (414) 531-2933
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1275369647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
N51W34306 PARK BAY RD, Okauchee, WI 53069
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolve Psychiatry And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolve Psychiatry And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abby Baneck, FNP-APNP
Nurse Practitioner
NPI 1225339344
9200 W WISCONSIN AVE DEPARTMENT OF EMERGENCY MEDICINE
Milwaukee, WI 53226
(414) 805-6450
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evolve Psychiatry And Wellness's NPI number?

The NPI number for Evolve Psychiatry And Wellness is 1275369647. It was assigned to this organization in the NPPES registry on September 11, 2024.

Where is Evolve Psychiatry And Wellness located?

Evolve Psychiatry And Wellness is located at N51w34306 Park Bay Rd, Okauchee, WI 53069. The listed phone number is (414) 531-2933.

What is Evolve Psychiatry And Wellness's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Evolve Psychiatry And Wellness enrolled in Medicare?

Yes. Evolve Psychiatry And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolve Psychiatry And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evolve Psychiatry And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evolve Psychiatry And Wellness was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.