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

Gary D. Homeier, AG-APNP-BCPMC-ED

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1366043051

Gary D. Homeier, AG-APNP-BCPMC-ED is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
Fax: (262) 948-5735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13250 Washington Ave, Mt Pleasant, WI 53177-1516 — (262) 799-8700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11740 (WI)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 11740-33 (WI)

Record details

NPI number1366043051
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-APNP-BCPMC-ED
Sole proprietorNo
NPI enumeratedNovember 8, 2020
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount