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Hannah T Gracyalny , FNP-C

Nurse Practitioner - Pediatrics β€’ Appleton, WI

Active NPI 1023851771 Individual Practitioner Female Practitioner
Practice location in NPPES

2701 E Enterprise Ave
Appleton, WI 549137729

Call 9209542551 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2701 E Enterprise Ave

Appleton, WI 549137729

Telephone 9209542551
Organization at the Same NPPES Address or Phone
Thedacare, Incorporated Facility NPI 1356424683

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Appleton, WI; Neenah, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Hannah Gracyalny has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Hannah Gracyalny as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

8 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Appleton, WI (405 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-16
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES WI 15471
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES WI 15471-33
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20240831000051

Enrollment State Jurisdiction

WI

PECOS Control ID

7810436060

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

W5282 Amy Ave

Appleton, WI 549157233

Phone: 9203581900

640 Deerwood Ave

Neenah, WI 549567110

Phone: 9207279982

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
🏒
Secondary Practice Location Registered August 16, 2024

Additional practice office at 640 Deerwood Ave, Neenah, WI 549567110

🏒
Secondary Practice Location Registered August 16, 2024

Additional practice office at W5282 Amy Ave, Appleton, WI 549157233

βœ…
NPI Profile Active June 18, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2024

Registered at 2701 E ENTERPRISE AVE, APPLETON, WI 549137729 (Tel: 9209542551)

πŸ“
Business Mailing Address (Initial Record) June 18, 2024

Registered at 2701 E ENTERPRISE AVE, APPLETON, WI 549137729 (Tel: 9209542551)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2024

Recorded as HANNAH GRACYALNY, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Nurse Practitioner (license number reported to NPPES: WI 15471-33)

🟒
Initial NPI Registration & Enumeration June 18, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023851771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2024
Last Update: August 16, 2024
Sole Proprietor: No

Mailing Address

2701 E Enterprise Ave

Appleton, WI 549137729

Phone: 9209542551

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.