MRS. SALLY LYNN HAEN NP
NPI 1093451155
Nurse Practitioner in Green Bay, WI

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2022, May 10, 2022 (2 updates tracked since 2022).

About Mrs. Sally Lynn Haen Np NPPES

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

MRS. SALLY LYNN HAEN NP (NPI 1093451155) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (F04220270) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093451155
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SALLY LYNN HAENCredential: NP
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address835 S Van Buren StGreen Bay, WI 54301-3526 · (920) 426-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 10, 2022
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1093451155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · F04220270
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

835 S VAN BUREN ST, Green Bay, WI 54301

Secondary Practice Locations 2

Location 1240 Maple StWoodruff, WI 54568-9190 · Phone (715) 356-8553
Location 21273 Tyson RdEagle River, WI 54521-8974 · Phone (920) 284-4972

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

Mrs. Sally Lynn Haen 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 ID2769864750
PECOS Enrollment IDI20220808002719
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 7

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 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.
156 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
99 services33 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
55 services31 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.
27 services25 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
24 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 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 54301 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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Nuclear Medicine (Nuclear Imaging & Therapy)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST
GREEN BAY, WI 54301

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 Sally Haen's NPI number?

The NPI number for Sally Haen is 1093451155. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Sally Haen located?

Sally Haen practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-0111.

What is Sally Haen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sally Haen enrolled in Medicare?

Yes. Sally Haen 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 Sally Haen accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Sally Haen 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 Sally Haen affiliated with any hospitals?

According to CMS data, Sally Haen 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 Sally Haen was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.