Individual provider Active NPI

Sherry Lee Rieben, NP

  • Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1124508213
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8564-33 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301
Phone
(920) 433-3500
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8564-33 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301

Mailing address

PO Box 708760
Sandy, UT 84070-8760
Phone (801) 352-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181017003015 WI Practitioner - Nurse Practitioner 3375895410 Reassigns benefits to 2 organizations
I20250103000833 MI Practitioner - Nurse Practitioner 3375895410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8564-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Nov 23, 2024 Accepting new patients
Premier Care of Wisconsin, LLC. CurrentSince Oct 10, 2023 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Apogee Medical Group, Wisconsin, S.C CurrentSince Jul 20, 2018 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Nov 23, 2024 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

23 W Scott St
Fond du Lac, WI 54935
Phone (920) 926-0101

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

4802 E Broadway
Madison, WI 53716
Phone (608) 889-7500

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

2814 S 108th St
West Allis, WI 53227
Phone (414) 885-3525

Organizations & group practices 7

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1124508213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708760",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708760",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-433-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBEN",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8564-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.