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

Mackenzie Louise Greisch

Individual provider Registered Nurse · NPI 1104524115

Mackenzie Louise Greisch is a Certified Registered Nurse Anesthetist (CRNA) in Green Bay, Wisconsin. Qualified in 2023, 3 years ago. Practices with Green Bay Anesthesia Assoc SC, a 71-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (920) 433-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1726 Shawano Ave, Green Bay, WI 54303-3216 — (920) 498-4200
  • 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 — (414) 649-6000
  • 800 Algoma Blvd, Oshkosh, WI 54901-8610 — (920) 424-3114

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 144770 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 242562 (WI)

Record details

NPI number1104524115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address2521 S Harmon St, Appleton, WI 54915-2504

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Green Bay Anesthesia Assoc. Sc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay