PREVEA HEALTH
NPI 1306869276
Internal Medicine in Green Bay, WI

Active since July 25, 2006CLIA 52D0921998 · Accreditation
2710 EXECUTIVE DR, GREEN BAY, WI 54304(920) 496-4700(920) 496-4705 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prevea Health NPPES

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

PREVEA HEALTH (NPI 1306869276) is a healthcare organization registered as an internal medicine in Green Bay, Wisconsin and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through May 11, 2027 and lists Ashok N Rai, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306869276
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREVEA CLINIC, INC.
Location Address2710 EXECUTIVE DRGreen Bay, WI 54304-5496
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 496-4705
Fax(920) 496-4705
Organization SubpartNo
Authorized OfficialAshok N RaiPresident/ceo · (920) 496-4700
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1306869276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X
2710 EXECUTIVE DR, Green Bay, WI 54304

Other Names 1

Other NamePrevea Health

Other Identifiers 1

Medicaid32704600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prevea Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

190

Medicare enrollment records show 190 clinicians reassign Medicare billing to Prevea Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner76
Family Practice44
Obstetrics/Gynecology15
Hospitalist8
Internal Medicine8
Pediatric Medicine8
Diagnostic Radiology6
General Surgery5
11 other specialties20

Nearest to this location (20)

See all 190
Nurse Practitioner
NPI 1326525049
2710 EXECUTIVE DRIVE
Green Bay, WI 54307
(920) 746-5093
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1174679575
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1245307719
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1760543532
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1578514287
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1053467456
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1003962416
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1720790298
2502 S ASHLAND AVE
Green Bay, WI 54304
(920) 496-4700
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1477559938
2502 S ASHLAND AVE
Green Bay, WI 54304
(920) 496-4700
✔ PECOS✔ Accepts Medicare1.2 mi
Nephrology
NPI 1871596627
2020 RIVERSIDE DR SUITE 200
Green Bay, WI 54301
(920) 433-9920
✔ PECOS✔ Accepts Medicare2.8 mi
Pediatric Medicine
NPI 1043235351
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS3.3 mi
Obstetrics/Gynecology
NPI 1861418725
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Physical Medicine and Rehabilitation
NPI 1467478271
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1831338219
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Urology
NPI 1831675180
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Cardiovascular Disease (Cardiology)
NPI 1083694111
1727 SHAWANO AVE SUITE 201
Green Bay, WI 54303
(920) 496-8877
✔ PECOS✔ Accepts Medicare3.7 mi
Pathology
NPI 1124262480
1726 SHAWANO AVE
Green Bay, WI 54303
(920) 498-4200
✔ PECOS✔ Accepts Medicare3.7 mi
Hospitalist
NPI 1699095646
1726 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.7 mi
Vascular Surgery
NPI 1972714285
900 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.8 mi
Certified Nurse Midwife (CNM)
NPI 1225448681
1860 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare3.8 mi
See all 190 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0921998

Prevea Clinic-Howard · Green Bay, WI
Active · expires May 11, 2027
CLIA Number52D0921998
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Robert Cutlan
Laboratory Phone(920) 496-4734
Laboratory LocationPrevea Clinic-Howard2793 Lineville Rd, Green Bay, WI 54313
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 52D2157189

Prevea Health - Ashwaubenon (737 Cormier Rd) · Green Bay, WI
Expired · Oct 31, 2026
CLIA Number52D2157189
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. Adam Kuten
Laboratory Phone(833) 625-0633
Laboratory LocationPrevea Health - Ashwaubenon (737 Cormier Rd)737 Cormier Road, Green Bay, WI 54304
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Prevea Clinic, Inc.'s NPI number?

The NPI number for Prevea Clinic, Inc. is 1306869276. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is also known as Prevea Health.

Where is Prevea Clinic, Inc. located?

Prevea Clinic, Inc. is located at 2710 Executive Dr, Green Bay, WI 54304. The listed phone number is (920) 496-4700.

What is Prevea Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prevea Clinic, Inc. enrolled in Medicare?

Yes. Prevea Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prevea Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 19 Medicare specialties reassign their Medicare billing to Prevea Clinic, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (76), Family Practice (44) and Obstetrics/Gynecology (15). Of these, 1 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prevea Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0921998) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prevea Clinic, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Security Health Plan list Prevea Clinic, Inc. 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 Prevea Clinic, Inc. was last updated on January 12, 2022. 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.