BETHANY J PIOTROWSKI
NPI 1013161058
Physician Assistant in Green Bay, WI

Q: What is Bethany Piotrowski's NPI number?

The NPI number for Bethany Piotrowski is 1013161058. It was assigned to this individual provider in the NPPES registry on November 4, 2008. The provider is also known as Bethany J Dekoning PA.

Q: What is Bethany Piotrowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 04, 2008PECOS EnrolledAccepts Medicare Assignment

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 433-6000(920) 430-4719 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2021, Aug 25, 2018, May 9, 2016 (3 updates tracked since 2016).

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About Bethany J Piotrowski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY J PIOTROWSKI (NPI 1013161058) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (3712-23) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013161058

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBETHANY J PIOTROWSKI

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 433-6000

Fax(920) 430-4719

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 4, 2008

Last NPPES UpdateMay 27, 20213 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1013161058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3712-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1630 COMMANCHE AVE, Green Bay, WI 54313

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Other Names 1

Former Name (1)Bethany J Dekoning Pa

Secondary Practice Locations 2

Location 14805 S Moorland RdNew Berlin, WI 53151 · Phone (262) 798-7200

Location 23263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 433-6700 · Fax (920) 433-6830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bethany J Piotrowski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446315204

PECOS Enrollment IDI20250623000643

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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