MARY INEZ NUNCHUCK (D.O.) – Addiction Psychiatry Physician, NPI 1316028616

MARY INEZ NUNCHUCK (D.O.) is a healthcare provider. based in Racine, Wisconsin. specializing in Addiction Psychiatry Physician. They hold the professional credentials D.O.. They hold a License No. 377260021 (WI). The NPI Number for MARY INEZ NUNCHUCK (D.O.) is 1316028616

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
MARY INEZ NUNCHUCK (D.O.)
NPI
1316028616
Phone
(262) 638-6744
Address
1717 TAYLOR AVE
Enumeration Date
17 October 2006
Last Update Date
7 July 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2626386744
Graduation Year
1975 (51 years ago)
PAC ID
6002882693
Group Practice PAC ID
7315857448
Professional Enrollment ID
I20040903001191
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY INEZ NUNCHUCK (D.O.)

  • Dennis Kornwolf Service Center, 1717, Taylor Avenue, Uptown, Racine, Racine County, Wisconsin, 53403, United States

    RACINE, WI 534032405

    Phone: (262) 638-6744

    Fax: (262) 638-6540

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 53403)

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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: 7315857448View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MARY INEZ NUNCHUCK (D.O.) in U.S. healthcare records?
The official identifier for MARY INEZ NUNCHUCK (D.O.) is NPI 1316028616.
Would MARY INEZ NUNCHUCK (D.O.) appear as active to a payer?
You can treat MARY INEZ NUNCHUCK (D.O.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARY INEZ NUNCHUCK (D.O.)?
At a glance, MARY INEZ NUNCHUCK (D.O.) is tied to Addiction Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MARY INEZ NUNCHUCK (D.O.) located near Racine?
MARY INEZ NUNCHUCK (D.O.) currently maps to Racine, Wisconsin in this extract.
Does MARY INEZ NUNCHUCK (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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