MARY P GOSPODAREK APNP
NPI 1386683563
Nurse Practitioner in Two Rivers, WI

Q: What is Mary Gospodarek's NPI number?

The NPI number for Mary Gospodarek is 1386683563. It was assigned to this individual provider in the NPPES registry on June 5, 2006. The provider is also known as Mary P Shimek.

Q: What is Mary Gospodarek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gospodarek was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 05, 2006

2219 GARFIELD ST, TWO RIVERS, WI 54241(920) 793-2281 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Sep 7, 2018 (2 updates tracked since 2018).

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About Mary P Gospodarek Apnp NPPES

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

MARY P GOSPODAREK APNP (NPI 1386683563) is an individual nurse practitioner in Two Rivers, Wisconsin, licensed in Wisconsin (1539) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1386683563

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY P GOSPODAREKCredential: APNP

Location Address2219 GARFIELD STTwo Rivers, WI 54241

Mailing Address2219 Garfield StTwo Rivers, WI 54241-2416 · (920) 793-2281

Phone(920) 793-2281

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1386683563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 1539

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2219 GARFIELD ST, Two Rivers, WI 54241

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Other Names 1

Former Name (1)Mary P Shimek

Other Identifiers 1

Medicaid43904900WI

Other Providers at the Same Location NPPES 20

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

DR. CEDRIC V THAYER MD

Internal Medicine