Paul A Hurst, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1395 Issued in WI

Practice address

1385 W Main Ave
De Pere, WI 54115-9366

Phone

(920) 433-9400

Fax

(920) 455-9409

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Associates of Green Bay SCGroup PAC ID 1658350616, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: phurst1003659@direct.emplifyhealth.org
• Direct secure messaging: phurst34356@direct.thedacare.org

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.

• Urology Associates of Green Bay, S.C.

  • Specialist
  • De Pere, WI
  • NPI 1427067263
  Medicare reassignment Care Compare group
• Green Bay Emergency Medicine Services S.C.

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1366424111
  Medicare reassignment
• Urology Associates of Green Bay, SC

  • Medical Specialty Clinic/Center
  • Marinette, WI
  • NPI 1043699036
  NPD (past)

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

• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1992717615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "920-433-9400",
            "fax_number": "920-455-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "920-433-9400",
            "fax_number": "920-455-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Cahill Rd",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433892",
            "country_code": "US",
            "telephone_number": "715-732-3420",
            "fax_number": "920-455-9409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Huebner, D.C.
• Kaelyn E Huebschman, APNP
• Humana Insurance Company
• Kristina K Hunter, LMFT
• Allie Hurrish
• Marie D. Ibarra Stafford, LPC
• Yussr M Ibrahim, MD
• In Focus Counseling, LLC
• Infinite Healing, LLC
• Alexa Ingold, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.