Individual provider Active NPI

Amel Mohamed Elshaier, APNP

  • Family Nurse Practitioner
  • Crivitz, WI
National Provider Identifier
1780166819
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8682-33 Issued in WI
Practice address
515 N US Highway 141
Crivitz, WI 54114-1639
Phone
(715) 854-7050
Fax
(715) 854-3485
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8682-33 WI
Family Nurse Practitioner 363LF0000X 8682-33 WI Primary

Addresses

Primary practice location

515 N US Highway 141
Crivitz, WI 54114-1639

Mailing address

1281 Marinette Ave
Marinette, WI 54143-2018
Phone (715) 330-7090

Other practice location 1

1281 Marinette Ave
Marinette, WI 54143-2018
Phone (715) 330-7078

Other identifiers 1

IdentifierTypeStateIssuer
100081900MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018001684 WI Practitioner - Nurse Practitioner 7416200506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, 217 clinicians
Heart Failure Survival Center of America SCGroup PAC ID 9830492198, 2 clinicians

Practice addresses (Care Compare)

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

515 N US Hwy 141
Crivitz, WI 54114-1639
Phone (715) 854-7050

Hospital & facility affiliations

  • Aurora Medical Center Bay Area Hospital, Marinette, WI, CCN 520113
  • Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8682-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Heart Failure Survival Center of America SC Family CurrentSince Oct 1, 2018 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients

Locations

2700 E Enterprise Ave
Ste B
Appleton, WI 54913
Phone (920) 260-3905

515 N US Highway 141
Crivitz, WI 54114
Phone (715) 854-7050

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

1281 Marinette Ave
Marinette, WI 54143
Phone (715) 330-7090

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13147/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amel.elshaier.1@13147.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1780166819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-330-7090",
            "fax_number": "715-732-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N US HIGHWAY 141",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141639",
            "telephone_number": "715-854-7050",
            "fax_number": "715-854-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1281 Marinette Ave",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541432018",
            "country_code": "US",
            "telephone_number": "715-330-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSHAIER",
        "first_name": "AMEL",
        "middle_name": "MOHAMED",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8682-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8682-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crivitz, WI

Sources for this page

Verify at the official NPI Registry.