PAUL ANTONISSEN (APNP) – Family Nurse Practitioner, NPI 1174096747

Family Nurse Practitioner

PAUL ANTONISSEN (APNP) is a healthcare provider. based in De pere, Wisconsin. specializing in Family Nurse Practitioner. They hold the professional credentials APNP. They hold a License No. 8973-33 (WI). The NPI Number for PAUL ANTONISSEN (APNP) is 1174096747

Main info

Male

8 Years Of Experience

Accepts Medicare Assignment

Name

PAUL ANTONISSEN (APNP)

NPI

1174096747

Phone

(920) 471-3729

Address

3957 GARRETT ST

Enumeration Date

7 January 2019

Last Update Date

7 January 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4135842173

Graduation Year

2018 (8 years ago)

PAC ID

4688909401

Group Practice PAC ID

4284905134

Professional Enrollment ID

I20190716000696

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for PAUL ANTONISSEN (APNP)

3957 GARRETT ST
DE PERE, WI 541151655
Phone: (920) 471-3729
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4284905134View full group profile

Name	Specialty	State
GUADALUPE ORLANDO ROMERO (NURSE PRACTITIONER)	Nurse Practitioner	WI
MRS. VIET VIGNIERI (PA-C)	-	WI
REGINA A CAPELLI-SCHEIDT (M.D.)	-	WI
OLIVIA ROSE DANKWAH (RN, FNP-C)	Nurse Practitioner	WI
DR. JEANNINE MARIE FORTIN (MD)	Family Practice, Peripheral Vascular Disease	WI
JODI KRUSZKA (NP)	Nurse Practitioner	WI
JANE KLEMMER (NP)	Nurse Practitioner	AZ
TATIANA ANN BACH (NP)	Nurse Practitioner	WI
MRS. KAREN S LIM (APNP)	Nurse Practitioner	WI
DANA MEHRING (FNP-C)	-	WI