MARY A JADIN NP
NPI 1164379152
Nurse Practitioner - Family in Green Bay, WI
About Mary A Jadin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY A JADIN NP (NPI 1164379152) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (18178-33) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
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
Mary A Jadin 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
2Medicare enrollment records show Mary Jadin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54313
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Oconto Falls, WI 54154
- Reassigned Medicare billing, Wisconsin enrollment
- 573 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 54313 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 54313
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 Mary Jadin's NPI number?
The NPI number for Mary Jadin is 1164379152. It was assigned to this individual provider in the NPPES registry on March 11, 2026.
Where is Mary Jadin located?
Mary Jadin practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 433-6000.
What is Mary Jadin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Jadin enrolled in Medicare?
Yes. Mary Jadin 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 Mary Jadin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jadin reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center, Inc. (Oconto Falls, 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 Mary Jadin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Jadin accept?
Health plans from CareSource (Common Ground Healthcare) list Mary Jadin 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 Mary Jadin was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mary A Jadin, NP · NPI 1164379152
Family physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since March 11, 2026.
## Identity
- **NPI:** 1164379152 (Entity type: Individual)
- **Enumerated:** March 11, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18178-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1630 COMMANCHE AVE, Green Bay, WI 54313-5753
- **Phone:** (920) 433-6000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Bellin Memorial Hospital Inc (NPI 1912420779, Green Bay, WI); Oconto Hospital & Medical Center, Inc. (NPI 1063038313, Oconto Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164379152) · Data from the CMS NPPES public registry.