What is Katie Petasek's NPI number?

Katie Petasek's National Provider Identifier (NPI) is 1104756113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Katie Petasek's specialty?

Katie Petasek is listed in the NPPES registry with a primary specialty of School Registered Nurse (Nursing Service Providers).

Where is Katie Petasek located?

Katie Petasek's practice location on file with NPPES is 2706 Lineville Rd, Green Bay, WI 54313-7151.

What is Katie Petasek's phone number?

The practice phone number listed in the NPPES registry for Katie Petasek is (920) 808-5875.

Is Katie Petasek's NPI active?

Yes — Katie Petasek's NPI (1104756113) is active in the NPPES registry as of the last update on 2026-05-21.

IndividualActive

Katie Petasek

NPI 1104756113 · School Registered Nurse · Green Bay, WI

Katie Petasek is a School Registered Nurse provider in Green Bay, WI (NPI 1104756113).

Provider details

NPI number: 1104756113
Entity type: Individual
Primary specialty: School Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 240473 (WI)

Specialties & taxonomies

School Registered NursePrimary163WS0200XLicense 240473 (WI)
Nursing Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2706 Lineville Rd

Green Bay, WI 54313-7151

Phone: (920) 808-5875

Street-level locationGet directions

More WI providers

Mailing address