DR. PAUL M SMULLEN MD
NPI 1033234406
Family Medicine in Kewaunee, WI
About Dr. Paul M Smullen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL M SMULLEN MD (NPI 1033234406) is an individual family medicine provider in Kewaunee, Wisconsin, licensed in Wisconsin (52480) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Medical College Of Wisconsin (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Paul M Smullen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Smullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Green Bay, WI 54303
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KEWAUNEE, WI 54216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Smullen's NPI number?
The NPI number for Paul Smullen is 1033234406. It was assigned to this individual provider in the NPPES registry on March 21, 2007. The provider is also known as Dr. Paul M Smullen MD.
Where is Paul Smullen located?
Paul Smullen practices at 1020 Marquette Dr, Kewaunee, WI 54216. The listed phone number is (920) 496-4700.
What is Paul Smullen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Smullen enrolled in Medicare?
Yes. Paul Smullen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Smullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Smullen reassigns Medicare benefits to Customized Health Care Services, LLC (Green Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Smullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Smullen affiliated with any hospitals?
According to CMS data, Paul Smullen is affiliated with St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Paul Smullen was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Paul M Smullen, MD · NPI 1033234406
Family Medicine physician in Kewaunee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1033234406 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 52480 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1020 MARQUETTE DR, Kewaunee, WI 54216-1782
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Customized Health Care Services, LLC (NPI 1962347641, Green Bay, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2007
## Record status
- **NPPES last updated:** March 22, 2023
- **Other identifiers:** Medicaid 100010351 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1033234406) · Data from the CMS NPPES public registry.