ARIEL KAY KUMBALEK NP
NPI 1083331052
Nurse Practitioner - Family in Green Bay, WI

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 429-1700 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2023, Oct 20, 2022 (2 updates tracked since 2022).

About Ariel Kay Kumbalek Np NPPES

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

ARIEL KAY KUMBALEK NP (NPI 1083331052) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (13246-33) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083331052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameARIEL KAY KUMBALEKCredential: NP
Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216
Mailing Address861 Mitchell StGreen Bay, WI 54304-2109 · (920) 464-0962
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 20, 2022
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
NPI 1083331052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 13246-33
1726 SHAWANO AVE, Green Bay, WI 54303

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

Ariel Kay Kumbalek Np 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 ID6800266883
PECOS Enrollment IDI20230109001760
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services55 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
51 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services23 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
25 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Pathology (Anatomic Pathology & Clinical Pathology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303

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 Ariel Kumbalek's NPI number?

The NPI number for Ariel Kumbalek is 1083331052. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Ariel Kumbalek located?

Ariel Kumbalek practices at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 429-1700.

What is Ariel Kumbalek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ariel Kumbalek enrolled in Medicare?

Yes. Ariel Kumbalek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ariel Kumbalek accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Ariel Kumbalek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ariel Kumbalek affiliated with any hospitals?

According to CMS data, Ariel Kumbalek is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ariel Kumbalek was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.