Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Jane Tlachac

Individual provider Nurse Practitioner · NPI 1891277703

Elizabeth Jane Tlachac is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Baycare Aurora LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 490-9046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13119 (WI)
Inpatient Obstetric Registered Nurse Taxonomy 163WX0003X · Licence 223849 (WI)

Record details

NPI number1891277703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay