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BRIANNA LYNN BAETEN PA
NPI 1194358648
Physician Assistant in Green Bay, WI

Active since February 12, 2020PECOS Enrolled
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7300 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2021, Jun 1, 2021, Apr 29, 2021 and 1 more (4 updates tracked since 2020).

About Brianna Lynn Baeten Pa NPPES

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

BRIANNA LYNN BAETEN PA (NPI 1194358648) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (5338-023) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1194358648
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIANNA LYNN BAETENCredential: PA
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing Address4840 N Latitude Ln Unit HAppleton, WI 54913-9431 · (920) 676-2105
Phone(920) 327-7300
Sole ProprietorNo
Enumeration DateFebruary 12, 2020
Last NPPES UpdateNovember 19, 20214 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1194358648 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 · 5338-023
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.
2253 W MASON ST, Green Bay, WI 54303
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Secondary Practice Location 1

Location 14840 N Latitude Ln Unit HAppleton, WI 54913-9431 · Phone (920) 676-2105

Other Identifiers 1

Medicaid100153241WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Lynn Baeten Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

NICOLE L LOWE APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
BRAD J LAVALLIE OD
Optometrist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
HEIDI KATHRYN BERGMAN PT, DPT
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 288-4712
JULIE A MAGNIN M.D.
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
CLINTON B OLSON MD
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
NICHOLAS JAMES HEEZEN D.O.
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. MARK R KROLL D.O.
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
SHANNA M SEBERO APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300

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 Brianna Baeten's NPI number?

The NPI number for Brianna Baeten is 1194358648. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Brianna Baeten located?

Brianna Baeten practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7300.

What is Brianna Baeten's specialty?

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

Is Brianna Baeten enrolled in Medicare?

Yes. Brianna Baeten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianna Baeten was last updated on November 19, 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.