GLENDA ANN MCCONNELL (PMHNP, BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316011653
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for GLENDA ANN MCCONNELL (PMHNP, BC)
Bellevue Street, Oak Grove, Green Bay, Brown County, Wisconsin, 54302, United States
SUITE 101
GREEN BAY, WI 543114205
Phone: (920) 784-2644
Fax: (920) 784-2655
Type: Location
1499 6TH ST
GREEN BAY, WI 543042252
Phone: (920) 497-6161
Fax: (888) 974-5769
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 325 Open Payments records for all available years, with a total value of $7,068.
Total Amount is formed as General ($7,068) + Research ($0) + Ownership ($0) = $7,068.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($1,099).
Total Amount
$7,068
General + Research + Ownership
Payments
325
Total payment records
General Amount
$7,068
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $1,099 |
| ABBVIE INC. | $1,030 |
| Supernus Pharmaceuticals, Inc. | $914 |
| Alkermes, Inc. | $692 |
| ITI, Inc. | $444 |
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: 2007-03-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070313000293 | I | Nurse Practitioner | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 85 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 84 | 19 | $0 |
Insurance plans in this area (ZIP 54311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Nurse Practitioner | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI |
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