DR. MADELEINE NERI GUEVARA D.O.
NPI 1225254451
Obstetrics & Gynecology - Obstetrics in De Pere, WI

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
1716 LAWRENCE DR STE 100, DE PERE, WI 54115(920) 605-3115(920) 486-6826 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2023, Dec 21, 2021, Oct 16, 2019 (3 updates tracked since 2019).

About Dr. Madeleine Neri Guevara D.o. NPPES

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

DR. MADELEINE NERI GUEVARA D.O. (NPI 1225254451) is an individual obstetrics provider in De Pere, Wisconsin, licensed in Wisconsin (70883-21) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225254451
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. MADELEINE NERI GUEVARACredential: D.O.
Location Address1716 LAWRENCE DR STE 100De Pere, WI 54115-9108
Mailing Address1716 Lawrence DrDe Pere, WI 54115-9108 · (920) 605-3115 · Fax (920) 486-6826
Fax(920) 486-6826
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1225254451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in WI · 70883-21
Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 5101016138 (MI)
1716 LAWRENCE DR STE 100, De Pere, WI 54115

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

Dr. Madeleine Neri Guevara D.o. 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 ID5496818890
PECOS Enrollment IDI20190607000084
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
1716 LAWRENCE DR STE 100
DE PERE, WI 54115
Nurse Practitioner (Family)
1716 LAWRENCE DR STE 100
DE PERE, WI 54115
Obstetrics & Gynecology
1716 LAWRENCE DR STE 100
DE PERE, WI 54115
Psychiatry & Neurology (Psychiatry)
1716 LAWRENCE DR STE 100
DE PERE, WI 54115
Pediatrics
1716 LAWRENCE DR STE 100
DE PERE, WI 54115

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 Madeleine Guevara's NPI number?

The NPI number for Madeleine Guevara is 1225254451. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Madeleine Guevara located?

Madeleine Guevara practices at 1716 Lawrence Dr Ste 100, De Pere, WI 54115. The listed phone number is (920) 605-3115.

What is Madeleine Guevara's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Madeleine Guevara enrolled in Medicare?

Yes. Madeleine Guevara 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 Madeleine Guevara accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Network Health list Madeleine Guevara 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 Madeleine Guevara affiliated with any hospitals?

According to CMS data, Madeleine Guevara is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Guevara was last updated on June 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.