Regina Van Gorden, RN, APNP, PMHNP - Nurse Practitioner in Waukesha, WI

Regina Van Gorden, RN, APNP, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Waukesha, Wisconsin. Regina Van Gorden is licensed to practice in Wisconsin (license number 13738) and her current practice location is 403 N Grand Ave # 101, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 300-4948.

NPI number for Regina Van Gorden is 1194950204 and her current mailing address is 403 N Grand Ave # 101, Waukesha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194950204.

Contact Information

Regina Van Gorden, RN, APNP, PMHNP
403 N Grand Ave # 101,
Waukesha, WI 53186-4984
(262) 300-4948
Not Available

Map and Direction




Provider's Profile

Full NameRegina Van Gorden
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location403 N Grand Ave # 101, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194950204
  • Provider Enumeration Date: 05/18/2009
  • Last Update Date: 03/07/2024

Medical Identifiers

Medical identifiers for Regina Van Gorden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194950204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 151058-30 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 13738 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Regina Van Gorden is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Regina Van Gorden, RN, APNP, PMHNP
403 N Grand Ave # 101,
Waukesha, WI 53186-4984

Ph: (262) 300-4948
Regina Van Gorden, RN, APNP, PMHNP
403 N Grand Ave # 101,
Waukesha, WI 53186-4984

Ph: (262) 300-4948

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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