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

Nathan Wallenfang, NP

Individual provider Nurse Practitioner · NPI 1386090512

Nathan Wallenfang, NP is a Nurse Practitioner in Marinette, Wisconsin. Qualified in 2015, 11 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
11
Licensed in
IL, WI
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Phone: (715) 732-8100
Fax: (715) 732-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 Memorial Dr, Two Rivers, WI 54241-3900 — (920) 794-5000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6862 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 6862 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 209-020256 (IL)

Record details

NPI number1386090512
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 6, 2016
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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