Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie L Materniak, NP

Individual provider Nurse Practitioner · NPI 1568921641

Carrie L Materniak, NP is a Nurse Practitioner in Green Bay, Wisconsin. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (612) 262-9000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9138 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9138 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11429 (MN)

Record details

NPI number1568921641
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients43
Services billed 59 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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