Active NPI
Elizabeth Levine
- Family Nurse Practitioner
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 830633
- Practice address
- 2502 S Ashland Ave
Green Bay, WI 54304-5252 - Phone
- (920) 496-4700
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 240659 | WI | |
| Family Nurse Practitioner | 363LF0000X | 830633 | WI | Primary |
Addresses
Primary practice location
2502 S Ashland Ave
Green Bay, WI 54304-5252
Mailing address
2502 S Ashland Ave
Green Bay, WI 54304-5252
Other practice location 1
835 S Main St
Oconto Falls, WI 54154-1282
Phone (920) 496-4700
Other practice location 2
940 S Saint Augustine St
Pulaski, WI 54162-9453
Phone (920) 496-4700
Other practice location 3
3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 496-4700
Other practice location 4
2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700
Other practice location 5
102 N Washington St
Green Bay, WI 54301-4209
Phone (920) 496-4700
Other practice location 6
3860 Monroe Rd
DE Pere, WI 54115-8399
Phone (920) 496-4700
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240659 | WI | MD | Registered Nurse |
| 830633 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| St. Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients |
Locations
3860 Monroe Rd
De Pere, WI 54115
Phone (920) 272-1200
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2502 S Ashland Ave
Green Bay, WI 54304
Phone (920) 496-4750
102 N Washington St
Green Bay, WI 54301
3021 Voyager Dr
Green Bay, WI 54311
Phone (920) 431-1810
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
2793 Lineville Rd
Howard, WI 54313
835 S Main St
Oconto Falls, WI 54154
Phone (920) 846-0509
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
940 S Saint Augustine St
Pulaski, WI 54162
Phone (920) 272-1611
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1306869276
-
- Critical Access Hospital
- Oconto Falls, WI
- NPI 1851477913
-
dba Prevea Health
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
-
dba Prevea Sheboygan Health Center
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
-
- Family Medicine Physician
- Chippewa Falls, WI
- NPI 1588110969
-
dba St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
dba Prevea Health
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
dba HSHS SCO Regional Surgery Center Sturgeon Bay
- Surgery Physician
- Sturgeon Bay, WI
- NPI 1447618152
-
dba St Nicholas Hospital
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1750885448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 S ASHLAND AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 S ASHLAND AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045252",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [
{
"address_1": "835 S Main St",
"address_purpose": "LOCATION",
"city": "Oconto Falls",
"state": "WI",
"postal_code": "541541282",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 S Saint Augustine St",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "WI",
"postal_code": "541629453",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3021 Voyager Dr",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543118303",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2793 Lineville Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543137152",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 N Washington St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543014209",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3860 Monroe Rd",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541158399",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "240659",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "830633",
"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 Mar 23, 2018; 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.