Individual provider Active NPI

Melissa Weets, APNP

  • Family Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1073251914
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12030-33 Issued in WI
Practice address
2960 Allied St Ste 101
Green Bay, WI 54304-5542
Phone
(920) 351-1675
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12030-33 WI Primary
Registered Nurse 163W00000X 250979-30 WI

Addresses

Primary practice location

2960 Allied St Ste 101
Green Bay, WI 54304-5542

Mailing address

2960 Allied St Ste 101
Green Bay, WI 54304-5542
Phone (920) 351-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323000409 WI Practitioner - Nurse Practitioner 6406330026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Wisconsin SCGroup PAC ID 4284905134, 26 clinicians

Practice addresses (Care Compare)

2960 Allied St
Suite 101
Green Bay, WI 54304-5542
Phone (920) 351-1675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
250979-30WIMDRegistered Nurse
12030-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Wisconsin, SC CurrentSince Apr 13, 2026 Accepting new patients
McLaren Bay Region Nurse Practitioner PastSince Apr 13, 2026 Accepting new patients

Locations

2960 Allied St
Ste 101
Green Bay, WI 54304
Phone (920) 351-1675

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1073251914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 ALLIED ST STE 101",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045542",
            "telephone_number": "920-351-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 ALLIED ST STE 101",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045542",
            "telephone_number": "920-351-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEETS",
        "first_name": "MELISSA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "12030-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "250979-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.