Active NPI
Altea Medical Wisconsin S.C.
- Geriatric Medicine (Internal Medicine) Physician
- Green Bay, WI
National Provider Identifier
1265320949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- ALTEA MEDICAL WISCONSIN S.C.
- Practice address
- 2961 Saint Anthony Dr
Green Bay, WI 54311-5860 - Phone
- (888) 408-7008
- NPI assigned
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Belen Arndt
- Title
- Director of RCM
- Phone
- (775) 287-3290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Mailing address
400 E Rivulon Blvd Ste 103
Gilbert, AZ 85297-0096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250925002021 | WI | Part B Supplier - Clinic/Group Practice | 3779088265 |
Receives reassigned benefits from 23 practitioners Practice locations: Beloit, WI; Shawano, WI; Ripon, WI; Oak Creek, WI; Manitowoc, WI; Madison, WI; Green Bay, WI; Burlington, WI |
National Provider Directory
National Provider DirectoryLocations
289 Saint Joseph St
Green Bay, WI 54301
Phone (920) 435-2729
1601 Wheeler Rd
Madison, WI 53704
Phone (608) 249-5558
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Winter Park, FL
- NPI 1841502333
Geriatric Medicine, WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1265320949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E RIVULON BLVD STE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 SAINT ANTHONY DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115860",
"telephone_number": "888-408-7008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTEA MEDICAL WISCONSIN S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-24",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "ARNDT",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "BELEN",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "775-287-3290"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.