Caitlin Quinn Barr, MD
Individual provider Active NPI Pediatrics Physician · De Pere, WI
NPI 1366930745 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1366930745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 81789-20 (WI)
- Practice address
- 555 Redbird Cir
De Pere, WI 54115-7977 - Phone
- (920) 338-6820
- Fax
- (920) 338-6829
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231106000941 | WI | Practitioner - Pediatric Medicine | 5092052191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81789-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Pediatrics | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
2450 Riverside Ave
Fl 1
Minneapolis, MN 55454
Phone (612) 624-4418
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
555 Redbird Cir
Ste 300
De Pere, WI 54115
Phone (920) 338-6830
555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2550 S Ashland Ave
Green Bay, WI 54304
Phone (920) 548-7337
Interoperability endpoints
- cbarr946788@direct.emplifyhealth.org
- cbarr334552@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 81789-20 | WI | Yes |
Addresses
Primary practice location
555 Redbird Cir
De Pere, WI 54115-7977
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other names
- Dr. Caitlin Quinn
Other providers in De Pere, WI
- Aurora Pharmacy Inc
- Aleksandra Babiarz
- Back in Action Chiropractic Center, LLC
- Aubrey Paige Barker
- Theresa L Barr-Drew
- Kathleen Barrow
- Amber Marie Bassindale
- Hannah Leigh Bauer
- Emily Baumler
- Edward D Bayer
All providers in De Pere, WI · Pediatrics Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.