MR. DENNIS LEE KOCHANIK NURSE PRACTITIONER NPI 1982378493

NPI Information

NPI: 1982378493
Provider Name: MR. DENNIS LEE KOCHANIK, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
11431 N PORT WASHINGTON RD STE 101B
MEQUON, WI
ZIP 53092
Phone: (267) 699-8834
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MR. Dennis Lee Kochanik, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Mequon, WI with 3 years of experience. MR. Dennis Lee Kochanik, NURSE PRACTITIONER NPI is 1982378493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11431 N PORT WASHINGTON RD STE 101B
MEQUON, WI
ZIP 53092-463
Phone: (267) 699-8834

The NPI 1982378493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2021 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		245684-30	WISCONSIN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95019168	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5380327022	KANSAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN-3414-0	HAWAII	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11305-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100190462	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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