DR. SAMANTHA ANNE HAEFNER MD
NPI 1073189338
Obstetrics & Gynecology in Green Bay, WI

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(202) 888-0009 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2025, Jun 13, 2025, May 27, 2021 (3 updates tracked since 2021).

About Dr. Samantha Anne Haefner Md NPPES

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

DR. SAMANTHA ANNE HAEFNER MD (NPI 1073189338) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (85591-20) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1073189338
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SAMANTHA ANNE HAEFNERCredential: MD
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021
Enumeration DateMay 27, 2021
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1073189338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 85591-20
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2845 GREENBRIER RD, Green Bay, WI 54311

Other Names 1

Former Name (1)Samantha Anne Miller

Other Identifiers 1

Medicaid100334566WI

Accepted 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

Dr. Samantha Anne Haefner Md 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 ID446652721
PECOS Enrollment IDI20250801002166
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 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Internal Medicine (Pulmonary Disease)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Nurse Practitioner
2845 GREENBRIER RD, 1ST FL
GREEN BAY, WI 54311
Radiology (Diagnostic Ultrasound)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Anesthesiology
2845 GREENBRIER RD
GREEN BAY, WI 54311
Anesthesiology
2845 GREENBRIER RD
GREEN BAY, WI 54311
Preventive Medicine (Undersea and Hyperbaric Medicine)
2845 GREENBRIER RD
GREEN BAY, WI 54311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073189338, enumerated as an "individual" on May 27, 2021.

The provider is located at 2845 GREENBRIER RD GREEN BAY, WI 54311 and the phone number is (202) 888-0009.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.