MRS. SALLY LYNN HAEN NP
NPI 1093451155
Nurse Practitioner in Green Bay, WI
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Sally Haen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 79 clinicians in this Medicare group
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Green Bay, WI 54303
- Reassigned Medicare billing, Wisconsin enrollment
- 57 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 36 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIPhysician 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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Sally Haen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Haen reassigns Medicare benefits to 4 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Clare Memorial Hospital, Inc. (Green Bay, WI), St. Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters (Green Bay, WI) and St Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Sally Haen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and St Mary's Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Sally Haen was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Sally Lynn Haen, NP · NPI 1093451155
Nurse Practitioner physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1093451155 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F04220270 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 835 S VAN BUREN ST, Green Bay, WI 54301-3526
- **Phone:** (920) 433-0111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1689694911, Green Bay, WI); St. Clare Memorial Hospital, Inc. (NPI 1093173791, Green Bay, WI); St. Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters (NPI 1598150864, Green Bay, WI); St Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1447737762, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093451155) · Data from the CMS NPPES public registry.