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

Kelley Lou Gossage, APNP

Individual provider Registered Nurse · NPI 1679598023

Kelley Lou Gossage, APNP is a Nurse Practitioner in De Pere, Wisconsin. Qualified in 1998, 28 years ago. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3860 Monroe Rd
De Pere, WI 54115-8399
Phone: (920) 496-4700
Fax: (920) 496-4705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 87057 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 1259 (WI)

Record details

NPI number1679598023
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in De Pere