Active NPI
Emily R Rademacher, D.O., M.B.A.
- Psychiatry Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 63430-21
- Practice address
- 301 E Saint Joseph St
Green Bay, WI 54301-2241 - Phone
- (920) 433-3630
- Fax
- (920) 437-0533
- NPI assigned
- Jun 29, 2011
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125060429 | IL | |
| Psychiatry Physician | 2084P0800X | 63430-21 | WI | Primary |
Addresses
Primary practice location
301 E Saint Joseph St
Green Bay, WI 54301-2241
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ABPN-MOC | Other | AMERICAN BOARD OF PSYCHIATRY/NEUROLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 433-3630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125060429 | IL | MD | Psychiatry Physician |
| 63430-21 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Psychiatry | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416
7694 Solutions Ctr
Chicago, IL 60677
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
815 Main St
Ste A1
Peoria, IL 61602
900 Main St
Ste 720
Peoria, IL 61602
Phone (309) 495-1640
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Interoperability endpoints
- erademacher164162@direct.thedacare.org
- erademacher926226@direct.emplifyhealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Bellin Behavior Health Bellevue Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
Psychiatry
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba FMC Luxemburg
- Family Medicine Physician
- Luxemburg, WI
- NPI 1295797975
-
dba Bellin Psychiatric Center Oncology Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1144552225
-
dba Bellin Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Psychiatry
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1033406038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22040",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052040",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E SAINT JOSEPH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012241",
"telephone_number": "920-433-3630",
"fax_number": "920-437-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEMACHER",
"first_name": "EMILY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O., M.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125060429",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "63430-21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF PSYCHIATRY/NEUROLOGY",
"identifier": "ABPN-MOC",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.