Elizabeth Anne Polacheck, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35784-20 Issued in WI

Practice address

1110 Kepler Dr
Green Bay, WI 54311-8306

Phone

(920) 304-9695

NPI assigned

Jan 4, 2007

Last updated

Dec 3, 2025By 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 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Medical College of Wisconsin, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post-Acute Physicians of Wisconsin SCGroup PAC ID 4789024431, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193
• Green Bay Rehabilitation Hospital Inpatient rehabilitation facility, Green Bay, WI, CCN 523031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Post-Acute Physicians of Wisconsin SC

  • Physical Medicine & Rehabilitation Physician
  • Green Bay, WI
  • NPI 1295593218
  Medicare reassignment Care Compare group NPD
• Commonwealth Medical Group, LLC

  • Internal Medicine Physician
  • West Allis, WI
  • NPI 1477500361

  Physical Medicine & Rehabilitation

  NPD (past)
• Milwaukee Urology Specialists, SC

  • Urology Physician
  • Franklin, WI
  • NPI 1154682334
  NPD (past)

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

• Baycare Aurora, LLC

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1255387726
  Care Compare affiliation
• Green Bay Rehabilitation Hospital LLC

  dba Green Bay Rehabilitation Hospital

  • Rehabilitation Hospital
  • Green Bay, WI
  • NPI 1902533474

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1528115250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118306",
            "telephone_number": "920-304-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Layton Ave",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532212628",
            "country_code": "US",
            "telephone_number": "414-727-8199",
            "fax_number": "414-727-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLACHECK",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "35784-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32041800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Rose Pociopa, LPN
• Julie A Podlasik, CRNA
• Jeannie Ann Poehls, PT
• Allison E Pohlman, LCSW
• Richard Poirier, D.O.
• Patricia M Polfus, NP
• Harvey Dennis Poling, DDS
• Amy Lynn Polster, LPC
• Cathy A Polzin, RN
• Harsha Vardhan Poola, M.D

• Physical Medicine & Rehabilitation Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.