Yussr M Ibrahim, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD27051 Issued in ME

Practice address

1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108

Phone

(920) 632-6800

Fax

(920) 632-6806

NPI assigned

Mar 27, 2018

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

University of Texas Medical Branch at Galveston, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Alleviate Pain and Spine, SCGroup PAC ID 9436670916, 8 clinicians

Association of Hospital Anesthesiologists SCGroup PAC ID 3476539875, 84 clinicians

Vital Anesthesia Associates SCGroup PAC ID 0840771150, 2 clinicians

St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score

47.43 of 100Reported as group

Quality

8.29

Promoting interoperability

100

Improvement activities

0

Cost

66.46

Merit-based Incentive Payment System (MIPS)

Final score

84.1 of 100Reported as group

Quality

64.8

Promoting interoperability

96

Improvement activities

40

Cost

68.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yibrahim2758752@direct.bsmhealth.org

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

• Alleviate Pain and Spine, SC

  • Pain Medicine (Anesthesiology) Physician
  • De Pere, WI
  • NPI 1962217521
  Medicare reassignment Care Compare group NPD
• Vital Anesthesia Associates SC

  • Anesthesiology Physician
  • Neenah, WI
  • NPI 1578422275
  Medicare reassignment Care Compare group NPD
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Medicare reassignment Care Compare group NPD
• Association of Hospital Anesthesiologists SC

  • Anesthesiology Physician
  • Neenah, WI
  • NPI 1720076474
  Medicare reassignment Care Compare group
• Women's Health Specialists, S.C.

  • Obstetrics & Gynecology Physician
  • Appleton, WI
  • NPI 1417086216
  NPD (past)

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

• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1467957936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 E Brooklyn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141595",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141568",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Lyon Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549565037",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047944",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151846",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 S Oneida St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151305",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W 9th Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047865",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "YUSSR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD27051",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "MD27051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humana Insurance Company
• Kristina K Hunter, LMFT
• Allie Hurrish
• Paul A Hurst, PA-C
• Marie D. Ibarra Stafford, LPC
• In Focus Counseling, LLC
• Infinite Healing, LLC
• Alexa Ingold, PA-C
• Integrative Pain Management SC
• Integrative Pain Management SC

• Anesthesiology Physician in De Pere, WI
• Providers in De Pere, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.