TEEGAN JAY VANGHEEM DPT
NPI 1174317150
Physical Therapist - Orthopedic in Green Bay, WI

Active since April 07, 2025Accepts Medicare Assignment
3021 VOYAGER DR, GREEN BAY, WI 54311(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teegan Jay Vangheem Dpt NPPES

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

TEEGAN JAY VANGHEEM DPT (NPI 1174317150) is an individual orthopedic provider in Green Bay, Wisconsin, licensed in Wisconsin (17342-24) and active in the NPI registry since April 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1174317150
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameTEEGAN JAY VANGHEEMCredential: DPT
Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1174317150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in WI · 17342-24
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 17342-24 (WI)
3021 VOYAGER DR, Green Bay, WI 54311

Other Identifiers 1

Medicaid100329204WI

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

Teegan Jay Vangheem Dpt 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 ID6507378080
PECOS Enrollment IDI20250620002335

Medicare Billing Reassignments

2

Medicare enrollment records show Teegan Vangheem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 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.

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.

Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Durable Medical Equipment & Medical Supplies
3021 VOYAGER DR
GREEN BAY, WI 54311
Family Medicine
3021 VOYAGER DR
GREEN BAY, WI 54311
Physical Therapist
3021 VOYAGER DR
GREEN BAY, WI 54311
Nurse Practitioner
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
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 Teegan Vangheem's NPI number?

The NPI number for Teegan Vangheem is 1174317150. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Teegan Vangheem located?

Teegan Vangheem practices at 3021 Voyager Dr, Green Bay, WI 54311. The listed phone number is (920) 496-4700.

What is Teegan Vangheem's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Teegan Vangheem enrolled in Medicare?

Yes. Teegan Vangheem 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 Teegan Vangheem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teegan Vangheem reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, 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 Teegan Vangheem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teegan Vangheem accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Teegan Vangheem 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 Teegan Vangheem was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.