NANCY L GORANSON (PHD) – Psychologist, NPI 1265442669

NANCY L GORANSON (PHD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 1826 (WI). The NPI Number for NANCY L GORANSON (PHD) is 1265442669

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
NANCY L GORANSON (PHD)
NPI
1265442669
Phone
(920) 926-8343
Address
420 E DIVISION ST
Enumeration Date
8 August 2006
Last Update Date
27 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082559119
Graduation Year
1992 (34 years ago)
PAC ID
0749200194
Group Practice PAC ID
2062434921
Professional Enrollment ID
I20051130000177
Address ID
WI537045387MA2010XDRXX302
Telehealth
Yes

Contacts

Secure Messaging
ngoranson331922@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for NANCY L GORANSON (PHD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8343

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051130000177IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7715$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 2062434921View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
Clinical PsychologistWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for NANCY L GORANSON (PHD)?
NANCY L GORANSON (PHD) — NPI 1265442669 — is the standard way to identify this listing.
Can I rely on NANCY L GORANSON (PHD) being an active provider?
As of the registry snapshot, NANCY L GORANSON (PHD) is marked active.
What is NANCY L GORANSON (PHD)'s specialty?
The listing groups NANCY L GORANSON (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is NANCY L GORANSON (PHD) based?
NANCY L GORANSON (PHD) is tied to Fond Du Lac, Wisconsin in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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