DR. MADELEINE NERI GUEVARA D.O.
NPI 1225254451
Obstetrics & Gynecology - Obstetrics in De Pere, WI
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 and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Madeleine Guevara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
De Pere, WI 54115
- Reassigned Medicare billing, Wisconsin enrollment
- 11 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 415 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 633 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 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.
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.
DE PERE, WI 54115
DE PERE, WI 54115
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.
Which organizations bill Medicare for Madeleine Guevara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeleine Guevara reassigns Medicare benefits to 3 organizations: St Gianna Molla Clinic, Inc (De Pere, WI), Aspirus Medical Group, Inc. (Wittenberg, WI) and Aspirus Wausau Hospital Inc (Wittenberg, 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 Madeleine Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
When was this NPI record last updated?
The NPPES record for Madeleine Guevara was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Madeleine Neri Guevara, D.O. · NPI 1225254451
Obstetrics physician in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1225254451 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** 70883-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1716 LAWRENCE DR STE 100, De Pere, WI 54115-9108
- **Phone:** (920) 605-3115 · **Fax:** (920) 486-6826
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St Gianna Molla Clinic, Inc (NPI 1104426477, De Pere, WI); Aspirus Medical Group, Inc. (NPI 1992950133, Wittenberg, WI); Aspirus Wausau Hospital Inc (NPI 1467782821, Wittenberg, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225254451) · Data from the CMS NPPES public registry.