NICOLE LEMMENS PA-C
NPI 1164094447
Physician Assistant in Green Bay, WI

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 360-6194 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Lemmens Pa-c NPPES

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

NICOLE LEMMENS PA-C (NPI 1164094447) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (5487-23) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164094447
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE LEMMENSCredential: PA-C
Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216
Mailing Address2866 Apple Ridge CtGreen Bay, WI 54311-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 15, 2021
NPPES CertifiedJuly 14, 2021
NPI 1164094447 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 · 5487-23
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.
1726 SHAWANO AVE, Green Bay, WI 54303

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

Nicole Lemmens Pa-c 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 ID1658778618
PECOS Enrollment IDI20210920000359
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 2

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
31 services22 patients
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.
15 services13 patients

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, 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Nurse Practitioner (Family)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physician Assistant
1726 SHAWANO AVE
GREEN BAY, WI 54303
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physical Therapist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Clinical Medical Laboratory
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303

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 Nicole Lemmens's NPI number?

The NPI number for Nicole Lemmens is 1164094447. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Nicole Lemmens located?

Nicole Lemmens practices at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 360-6194.

What is Nicole Lemmens's specialty?

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

Is Nicole Lemmens enrolled in Medicare?

Yes. Nicole Lemmens 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 Nicole Lemmens accept?

Health plans from Security Health Plan list Nicole Lemmens 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 Nicole Lemmens affiliated with any hospitals?

According to CMS data, Nicole Lemmens is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Lemmens was last updated on July 15, 2021. 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.