Individual provider Active NPI

Robyn Marie Weilbaker, CNP

  • Nurse Practitioner
  • Washington Island, WI
National Provider Identifier
1154576551
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002810A Issued in IN
Practice address
910 Main Rd
Washington Island, WI 54246-9004
Phone
(920) 847-2424
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002810A IN Primary
Nephrology Registered Nurse 163WN0300X 28151253A IN

Addresses

Primary practice location

910 Main Rd
Washington Island, WI 54246-9004

Mailing address

910 Main Rd
Washington Island, WI 54246-9004
Phone (920) 847-2424

Other names 1

  • Ms. Robyn Marie Matvya Former name

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
I20190926001073 WI Practitioner - Nurse Practitioner 9638227069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Door County Memorial HospitalGroup PAC ID 5395735088, 85 clinicians

Practice addresses (Care Compare)

910 Main Rd
Washington Island, WI 54246-9004
Phone (920) 847-2424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28151253AINMDNephrology Registered Nurse
71002810AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Door County Memorial Hospital CurrentSince Sep 23, 2019 Accepting new patients
Door County Memorial Hospital CurrentSince Sep 23, 2019 Accepting new patients
Emergency Medicine of Indiana Past Accepting new patients
Emergency Medicine of Indiana LLC Past Accepting new patients
Professional Emergency Physicians PC PastSince Jun 15, 2025 Accepting new patients
Nephrology Associates of Northern Indiana, Inc Past Accepting new patients

Locations

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

910 Main Rd
Washington Island, WI 54246
Phone (920) 743-5566

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robyn.weilbaker@direct.dcmedical.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1154576551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-847-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-847-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILBAKER",
        "first_name": "ROBYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002810A",
            "primary": true
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "IN",
            "license": "28151253A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MATVYA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington Island, WI

Sources for this page

Verify at the official NPI Registry.