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

Mrs. Maryjo Leigh Heise, APNP

Individual provider Registered Nurse · NPI 1689790461

Mrs. Maryjo Leigh Heise, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

720 S Vanburen St SUITE201
Green Bay, WI 54301-3534
Phone: (920) 433-7488
Fax: (920) 433-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225
  • 820 Arbutus Ave, Oconto, WI 54153-2004 — (920) 835-1100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5010-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 135351-030 (WI)

Record details

NPI number1689790461
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay