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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285353367

Gillian Grancorvitz, APRN, PMHNP is a Nurse Practitioner in Hudson, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Minnesota and Wisconsin.

Years since qualifying
1
Licensed in
MN, WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

642 Brakke Dr Ste 105
Hudson, WI 54016-7904
Phone: (715) 402-4562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 18273-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 2490493 (MN)

Record details

NPI number1285353367
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , PMHNP
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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