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MRS. KIM MARIE SHEFCHIK PA-C
NPI 1174547244
Physician Assistant in Green Bay, WI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
704 S WEBSTER AVE, STE. 300, GREEN BAY, WI 54301(920) 468-3444(920) 432-6313 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Dec 6, 2019, Feb 5, 2019 (3 updates tracked since 2019).

About Mrs. Kim Marie Shefchik Pa-c NPPES

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

MRS. KIM MARIE SHEFCHIK PA-C (NPI 1174547244) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (1484) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174547244
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIM MARIE SHEFCHIKCredential: PA-C
Location Address704 S WEBSTER AVE, STE. 300Green Bay, WI 54301-3528
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 468-3444
Fax(920) 432-6313
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2002
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1174547244 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 · 1484
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.
704 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Former Name (1)Kim M Dalebroux Pa-c

Secondary Practice Locations 2

Location 11630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4700 · Fax (920) 430-4747
Location 2720 S VanBuren St Suite 101Green Bay, WI 54301-3504 · Phone (920) 433-3420 · Fax (920) 338-6859

Other Identifiers 2

Medicaid32400300WI
Other1054037National Commission On Certification Of Physician Assistants

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Mrs. Kim Marie Shefchik 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 ID7719175439
PECOS Enrollment IDI20101222000612
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 3

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.

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.
19 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

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.

NEW DERMATOLOGY GROUP LTD
Dermatology
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-0345
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Brown County (920) 433-7463
SARAH ANN PIERRE PAC
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Brown County (920) 468-3443
REBECCA P VAN MILLER D.D.S.
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Brown County (920) 435-6894
BELLIN MEMORIAL HOSPITAL INC
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Brown County (920) 445-7226
MICHELLE LYN MINIKEL MD
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Brown County (920) 433-3456
BART J MILLER PA
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. LORI L HARTZ MS, RD
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3456

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 Kim Shefchik's NPI number?

The NPI number for Kim Shefchik is 1174547244. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Kim M Dalebroux Pa-C.

Where is Kim Shefchik located?

Kim Shefchik practices at 704 S Webster Ave Ste. 300, Green Bay, WI 54301. The listed phone number is (920) 468-3444.

What is Kim Shefchik's specialty?

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

Is Kim Shefchik enrolled in Medicare?

Yes. Kim Shefchik 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 Kim Shefchik accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Kim Shefchik 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 Kim Shefchik affiliated with any hospitals?

According to CMS data, Kim Shefchik is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kim Shefchik was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.