Individual Healthcare Provider
Suzette M Bornemann, APNP
Provider's NPPES record last updated: December 7, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1851630834
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Crivitz, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Nurse Practitioner
Critical Care Medicine
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LC0200X
Provider-Reported License Information
- Nurse Practitioner (Wisconsin)
- 5219-33
- Nurse Practitioner (Wisconsin)
- 5219-33
Practice Locations
Practice Location
218 S Hwy 141
Crivitz, Wisconsin 54114-1677
Phone: (715) 854-7477
Additional Practice Location
3021 Voyager Dr
Green Bay, Wisconsin 54311-8303
Phone: (920) 496-1700
Fax: (920) 496-4705
Additional Practice Location
2820 Roosevelt Rd
Marinette, Wisconsin 54143-3834
Phone: (715) 735-5225
Fax: (715) 735-5388
Additional Practice Location
307 Manor Dr
Suring, Wisconsin 54174-9182
Phone: (920) 842-2144
Fax: (920) 842-4111
Additional Practice Location
441 French St
Peshtigo, Wisconsin 54157-1203
Phone: (715) 582-9949
Fax: (715) 582-4464
Additional Practice Location
15481 Commercial Rd Ste E
Lakewood, Wisconsin 54138-9677
Phone: (715) 276-9048
Fax: (715) 276-2849
Additional Practice Location
401 W Mill St
Bonduel, Wisconsin 54107-9246
Phone: (715) 758-2167
Fax: (715) 758-6701
Additional Practice Location
723 S Wisconsin St
Pulaski, Wisconsin 54162-9303
Phone: (820) 822-1100
Fax: (920) 822-5731
Additional Practice Location
405 Commercial St
Seymour, Wisconsin 54165-8474
Phone: (920) 833-2318
Fax: (920) 833-6883
Record Information
- Enumeration Date
- February 11, 2013
- Provider's NPPES Record Last Updated
- December 7, 2022
- Certification Date
- December 7, 2022
- NPISignal NPPES Dataset
- August 2026
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