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 and is a graduate of Vanderbilt University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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 (PECOS)
Carrie Jean Wyllys Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Carrie Wyllys accept?
Health plans from McLaren Health Plan Community 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 2 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
- **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.