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

Lucas James Tlachac, NP

Individual provider Family Nurse Practitioner · NPI 1245979640

Lucas James Tlachac, NP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Baycare Clinic LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8350
Fax: (920) 288-8355
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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 12158-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 12158-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 236493-30 (WI)

Record details

NPI number1245979640
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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 Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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