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

Kelly M Mackowski, APNP

Individual provider Family Nurse Practitioner · NPI 1689204075

Kelly M Mackowski, APNP is a Nurse Practitioner in Shawano, Wisconsin. Qualified in 2019, 7 years ago. Practices with Green Bay Emergency Medicine Services SC, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1818 N Meade St Ste 130, Appleton, WI 54911-3454 — (920) 831-1841
  • 800 Riverside Dr, Waupaca, WI 54981-1943 — (715) 258-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9839 (WI)

Record details

NPI number1689204075
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Green Bay Emergency Medicine Services Sc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawano