STEPHANIE R SMULLEN PA-C
NPI 1316117500
Physician Assistant in Green Bay, WI

Active since March 04, 2008PECOS Enrolled
2845 GREENBRIER RD STE 240, GREEN BAY, WI 54311(920) 288-8280(920) 288-8285 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie R Smullen Pa-c NPPES

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

STEPHANIE R SMULLEN PA-C (NPI 1316117500) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (2242) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316117500
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE R SMULLENCredential: PA-C
Location Address2845 GREENBRIER RD STE 240Green Bay, WI 54311-6519
Mailing Address2845 Greenbrier Rd Ste 240, Po Box 8900Green Bay, WI 54308-8900 · (920) 288-8280 · Fax (920) 288-8285
Fax(920) 288-8285
Sole ProprietorNo
Enumeration DateMarch 4, 2008
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1316117500 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 · 2242
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.

2845 GREENBRIER RD STE 240, Green Bay, WI 54311

Other Names 1

Former Name (1)Stephanie Runke

Other Identifiers 2

Medicaid1316117500MI
Medicaid1316117500WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie R Smullen Pa-c 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.

Areas of Expertise CMS Part B claims

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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers15 claims2,550 services$5.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Physician Assistant
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311
Urology
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311

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 Stephanie Smullen's NPI number?

The NPI number for Stephanie Smullen is 1316117500. It was assigned to this individual provider in the NPPES registry on March 4, 2008. The provider is also known as Stephanie Runke.

Where is Stephanie Smullen located?

Stephanie Smullen practices at 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311. The listed phone number is (920) 288-8280.

What is Stephanie Smullen's specialty?

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

Is Stephanie Smullen enrolled in Medicare?

Yes. Stephanie Smullen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Smullen was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.