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TARESA B FASSBENDER PA
NPI 1093942047
Physician Assistant in Green Bay, WI

Active since June 17, 2009
3263 EATON RD STE 1, GREEN BAY, WI 54311(920) 433-6000(920) 433-6009 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2020, Mar 17, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Taresa B Fassbender Pa NPPES

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

TARESA B FASSBENDER PA (NPI 1093942047) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (2429-023) and active in the NPI registry since June 2009. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093942047
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARESA B FASSBENDERCredential: PA
Location Address3263 EATON RD STE 1Green Bay, WI 54311-6830
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-6000
Fax(920) 433-6009
Sole ProprietorNo
Enumeration DateJune 17, 2009
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1093942047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 2429-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3263 EATON RD STE 1, Green Bay, WI 54311
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Other Names 1

Former Name (1)Taresa B Vanasten Pa

Secondary Practice Locations 3

Location 1704 S Webster AveGreen Bay, WI 54301-3528 · Phone (920) 433-3456 · Fax (920) 433-3469
Location 21800 Lawrence DrDE Pere, WI 54115-9108 · Phone (920) 983-3220 · Fax (920) 983-3226
Location 32430 E Mason StGreen Bay, WI 54302-3759 · Phone (920) 406-9863

Other Identifiers 1

Other11987405Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE MARY LENSS APNP
Nurse Practitioner (Family)
3263 EATON RD STE 1
GREEN BAY, WI 54311
Brown County (920) 433-6000

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 Taresa Fassbender's NPI number?

The NPI number for Taresa Fassbender is 1093942047. It was assigned to this individual provider in the NPPES registry on June 17, 2009. The provider is also known as Taresa B Vanasten PA.

Where is Taresa Fassbender located?

Taresa Fassbender practices at 3263 Eaton Rd Ste 1, Green Bay, WI 54311. The listed phone number is (920) 433-6000.

What is Taresa Fassbender's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Taresa Fassbender accept?

Health plans from CareSource (Common Ground Healthcare) list Taresa Fassbender 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.

When was this NPI record last updated?

The NPPES record for Taresa Fassbender was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.