CARRIE JEAN WYLLYS NP
NPI 1154750578
Nurse Practitioner in Green Bay, WI
About Carrie Jean Wyllys Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE JEAN WYLLYS NP (NPI 1154750578) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (103627) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Vanderbilt University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrie Jean Wyllys Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Carrie Wyllys reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Ionia, MI 48846
- Reassigned Medicare billing, Michigan enrollment
- 916 clinicians in this Medicare group
Brighton, MI 48116
- Reassigned Medicare billing, Michigan enrollment
- 507 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 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.
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.
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 54311
GREEN BAY, WI 54311
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 Carrie Wyllys's NPI number?
The NPI number for Carrie Wyllys is 1154750578. It was assigned to this individual provider in the NPPES registry on November 6, 2013.
Where is Carrie Wyllys located?
Carrie Wyllys practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8000.
What is Carrie Wyllys's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Carrie Wyllys enrolled in Medicare?
Yes. Carrie Wyllys is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carrie Wyllys's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Wyllys reassigns Medicare benefits to 5 organizations: Baycare Aurora, LLC (Green Bay, WI), Aurora Medical Group, Inc. (Sheboygan, WI), Edward W Sparrow Hospital Association (Ionia, MI), Regents Of The University Of Michigan (Brighton, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). 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 Carrie Wyllys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrie Wyllys accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare) and Priority Health list Carrie Wyllys 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 Carrie Wyllys was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Carrie Jean Wyllys, NP · NPI 1154750578
Nurse Practitioner physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since November 6, 2013.
## Identity
- **NPI:** 1154750578 (Entity type: Individual)
- **Enumerated:** November 6, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 103627 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2845 GREENBRIER RD, Green Bay, WI 54311-6519
- **Phone:** (920) 288-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Edward W Sparrow Hospital Association (NPI 1891486205, Ionia, MI); Regents Of The University Of Michigan (NPI 1225053895, Brighton, MI); Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** June 5, 2026
- **Other identifiers:** Medicaid 100414108 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1154750578) · Data from the CMS NPPES public registry.