Kristin A. Anderson-Cronin · Psychiatric/Mental Health Nurse Practitioner

3150 Gershwin Dr, Green Bay, WI 54311-4328

Overview

Kristin A. Anderson-Cronin is a Psychiatric/Mental Health Nurse Practitioner practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1558650705, which was assigned on March 28, 2011, and the registration record was last updated on April 4, 2025. The practitioner's main practice location is at 3150 Gershwin Dr, Green Bay, WI 54311-4328; the contact telephone number is 9203916940. The primary taxonomy of Kristin A. Anderson-Cronin is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. Kristin A. Anderson-Cronin is licensed to practice in the state of Wisconsin (#170979-030), Wisconsin (#5424-33), Wisconsin (#5424-33).

Provider Information

NPI 1558650705
Entity Type Individual
Provider Name MRS. KRISTIN A. ANDERSON-CRONIN
Gender Female
Credential PMHNP-BC
Practice Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Practice Telephone 9203916940
Mailing Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Mailing Telephone 9203916940
Certification Date 2025-04-04
Enumeration Date 2011-03-28
Last Update Date 2025-04-04
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7911133426
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KRISTIN A ANDERSON-CRONIN
Primary Specialty NURSE PRACTITIONER
Organization Legal Name COUNTY OF BROWN
Address 3150 Gershwin Dr
Green Bay
WI 54311-4328

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N163W00000XRegistered Nurse170979-030WI
N163WP0808XRegistered NursePsychiatric/Mental Health5424-33WI
Y363LP0808XNurse PractitionerPsychiatric/Mental Health5424-33WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
1558650705WIMEDICAID
000001545WIMEDICAREOther

Secondary Practice Locations

AddressTelephoneFax
9000 W Wisconsin Ave, Child and Adolescent Psychology - Suite B510, Milwaukee, WI 53226487441426625714142663765

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 163WP0808X
Taxonomy Psychiatric/Mental Health Registered Nurse
Classification Registered Nurse
Specialization Psychiatric/Mental Health
Grouping Nursing Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Payton Goss 994 Bankhead Dr, Belzoni, MS 39038-3070Psychiatric/Mental Health Nurse Practitioner2025-11-08
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Location Information

Street Address 3150 GERSHWIN DR
City GREEN BAY
State WI
Zip Code 54311-4328
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Lisa J Cavil 3150 Gershwin Dr, Green Bay, WI 54311-4328Professional Counselor2014-08-12
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Psychologist2023-09-25
Tyler G Luedke 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2013-04-08
Yogesh C Pareek 3150 Gershwin Dr, Green Bay, WI 54311-4328Psychiatry Physician2007-04-16
County of Brown 3150 Gershwin Drive, Green Bay, WI 54311-5859Community/Behavioral Health Agency2006-11-06
Koti R Mannem 3150 Gershwin Drive, Green Bay, WI 54311-5859Psychiatry Physician2006-09-22
Nicole Dufek 3150 Gershwin Dr, Green Bay, WI 54311-4328Social Worker2022-09-14
County of Brown 3150 Gershwin Dr, Green Bay, WI 54311-4328Case Management Agency2025-07-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Spencer Klein 2605 Development Dr, Green Bay, WI 54311-4240Student in an Organized Health Care Education/Training Program2019-03-25
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Sbh-Green Bay LLC 1351 Ontario Rd, Green Bay, WI 54311Mental Health Clinic/Center (Including Community Mental Health Center)2016-09-21
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
Sara Jane Weber 2830 Curry Ct Ste 1, Green Bay, WI 54311-4877Dentist2014-06-24
Golden Counseling, LLC 2563 Development Dr, Green Bay, WI 54311-4246Community/Behavioral Health Agency2025-06-19
Kathryn Meadowcroft 2581 Development Dr, Green Bay, WI 54311-4247Family Nurse Practitioner2023-01-06
Peter E. Mcmahon · Pete E. Mcmahon 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2006-07-27
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.