Karissa A Glass is a Nurse Practitioner practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1770306912, which was assigned on November 6, 2024, and the registration record was last updated on May 15, 2025. The practitioner's main practice location is at 2845 Greenbrier Rd, Green Bay, WI 54311-6519; the contact telephone number is 9202888000. The primary taxonomy of Karissa A Glass is Nurse Practitioner (363L00000X). Karissa A Glass is licensed to practice in the state of Wisconsin (#51815).
(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.
| NPI | 1770306912 |
| Entity Type | Individual |
| Provider Name | KARISSA A GLASS |
| Gender | Female |
| Credential | RN |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Practice Telephone | 9202888000 |
| Mailing Address |
Po Box 735044 Chicago IL 60673-5044 |
| Mailing Telephone | 8003262250 |
| Certification Date | 2025-05-15 |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-05-15 |
| Is Sole Proprietor | N |
| PAC ID |
0446770895 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KARISSA A GLASS |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | AURORA MEDICAL GROUP, INC. |
| Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 51815 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 100308400 | WI | MEDICAID |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| 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. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amara Elenni Osita | 600 N Kobayashi, Webster, TX 77598-4840 | Nurse Practitioner | 2025-11-06 |
| Yuleidys Aragon Benitez | 7966 Nw 199th Ter, Hialeah, FL 33015-6386 | Nurse Practitioner | 2025-11-06 |
| Adela Michelle Rodriguez | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915-1835 | Nurse Practitioner | 2025-11-07 |
| Paulina Monika Schuch | 6205 S Kilkenny Dr, Crystal Lake, IL 60014-4729 | Nurse Practitioner | 2025-11-06 |
| Evelyn A Arredondo | 683 Victorian Hill Dr, Perris, CA 92570-3464 | Nurse Practitioner | 2025-11-06 |
| Krystal Jianghuizi Li | 4330 Barranca Pkwy Ste 245, Irvine, CA 92604-1704 | Nurse Practitioner | 2025-11-07 |
| Jaskiran Kaur Athwal | 7449 Morning Hill St, Sacramento, CA 95829-9398 | Nurse Practitioner | 2025-11-06 |
| Harmony Wellness and Health | 4612 Eagle Ave, Perris, CA 92571-5160 | Nurse Practitioner | 2025-11-07 |
| Marcela Wolff | 1290 Weston Rd Ste 203, Weston, FL 33326-1909 | Nurse Practitioner | 2025-11-06 |
| Kimberly Anne Parker | 377 Rockport Dr, Clayton, NC 27527-7065 | Nurse Practitioner | 2025-11-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Lauretta Retzlaff | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Audiologist | 2021-09-28 |
| Nicholas Gibson | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Internal Medicine Physician | 2022-04-05 |
| Kallianne Nicole Mikesch | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Physician Assistant | 2025-04-07 |
| Hannah Noelle Juckem | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2024-09-07 |
| Jonathan Scheel | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Critical Care Medicine (Internal Medicine) Physician | 2020-03-25 |
| Brianne Conklin | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Family Nurse Practitioner | 2021-11-02 |
| Meaghan E Echelmeyer · Meaghan E Baker | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2023-12-11 |
| Clarice Elizabeth Danen | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Genetic Counselor (M.S.) | 2025-09-17 |
| Alishia Parma | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Family Nurse Practitioner | 2014-06-30 |
| Sarah Zeeshan | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Family Medicine Physician | 2021-03-31 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jennifer Ann Russell | 2851 University Ave, Green Bay, WI 54311 | Student in an Organized Health Care Education/Training Program | 2017-09-27 |
| Peter E. Mcmahon · Pete E. Mcmahon | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2006-07-27 |
| Helga Aquino Meyer · Helga Aquino Perpetuo | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-08-16 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| Nicole Dufek | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Social Worker | 2022-09-14 |
| Lori Ann Keisic Hummel · Lori Ann Keisic Grillo | 1160 Kepler Dr, Green Bay, WI 54311 | Physical Therapist | 2012-04-23 |
| Kathryn Meadowcroft | 2581 Development Dr, Green Bay, WI 54311-4247 | Family Nurse Practitioner | 2023-01-06 |
| Spencer Klein | 2605 Development Dr, Green Bay, WI 54311-4240 | Student in an Organized Health Care Education/Training Program | 2019-03-25 |
| Power of Peace Housing and Recovery Service LLC | 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100 | Assisted Living Facility (Behavioral Disturbances) | 2025-03-01 |
| Sbh-Green Bay LLC | 1351 Ontario Rd, Green Bay, WI 54311 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2016-09-21 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Karissa A Logan · Karissa Ann Schlesselman | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | Professional Counselor | 2019-07-25 |
| Karissa Joy Klaers · Karissa Joy Tawfeek | 411 3rd St Se, Osseo, MN 55369-1606 | Counselor | 2019-10-01 |
| Karissa Hunter | 126 W Olive Ave, Monrovia, CA 91016-3410 | Behavior Technician | 2025-07-30 |
| Karissa Eickhoff · Karissa Carpenter | 740 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3098 | Physician Assistant | 2016-09-25 |
| Karissa Liu | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | Anesthesiologist Assistant | 2025-05-21 |
| Karissa Marie Kautzman · Karissa Marie Bauder | 2401 46th Ave Se Ste 102, Mandan, ND 58554-4829 | Addiction (Substance Use Disorder) Counselor | 2014-05-30 |
| Karissa E Belfield · Karissa E Abt | 1085 Maple St, Farmington, MO 63640-1955 | Psychiatric/Mental Health Registered Nurse | 2025-06-16 |
| Karissa Rae Koessel | 23625 Holman Hwy, Monterey, CA 93940-5902 | Pharmacist | 2025-08-04 |
| Karissa Day | 1001 Kamokila Blvd Ste 210, Kapolei, HI 96707-2096 | Behavioral Analyst | 2022-04-28 |
| Karissa Ray | 4904 S Power Rd Ste 103-268, Mesa, AZ 85212-3609 | Mental Health Counselor | 2020-06-16 |
Do you have more infomration about Karissa A Glass? Please fill in the following form.
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 |
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. |