Individual provider · Type 1 NPI

Gary D. Homeier, AG-APNP-BC PMC-ED

Nurse Practitioner · Kenosha, WI

NPI number 1366043051 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Call (262) 948-5600 Map

Fax (262) 948-5735

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 13250 Washington Ave, Mount Pleasant, WI 53177-1516 · (262) 799-8700

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X11740-33 (WI)
Nurse Practitioner Primary 363L00000X11740 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366043051

Gary D. Homeier, AG-APNP-BC PMC-ED's National Provider Identifier is 1366043051, issued on Nov 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 22, 2025.