TAYLOR RAE TOLLEFSON DNP
NPI 1316648207
Nurse Anesthetist, Certified Registered in Green Bay, WI
About Taylor Rae Tollefson Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR RAE TOLLEFSON DNP (NPI 1316648207) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (14214-33) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Taylor Rae Tollefson Dnp 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
2Medicare enrollment records show Taylor Tollefson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 129 clinicians in this Medicare group
Green Bay, WI 54303
- Reassigned Medicare billing, Wisconsin enrollment
- 19 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54301
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 Taylor Tollefson's NPI number?
The NPI number for Taylor Tollefson is 1316648207. It was assigned to this individual provider in the NPPES registry on March 16, 2023. The provider is also known as Taylor Rae Bain.
Where is Taylor Tollefson located?
Taylor Tollefson practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-0111.
What is Taylor Tollefson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Taylor Tollefson enrolled in Medicare?
Yes. Taylor Tollefson 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 Taylor Tollefson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Tollefson reassigns Medicare benefits to 2 organizations: Green Bay Anesthesia Assoc. Sc (Green Bay, WI) and Nurse Anesthesia Professional Services LLC (Green Bay, 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 Taylor Tollefson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taylor Tollefson accept?
Health plans from CareSource (Common Ground Healthcare) list Taylor Tollefson 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 Taylor Tollefson affiliated with any hospitals?
According to CMS data, Taylor Tollefson is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Taylor Tollefson was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Taylor Rae Tollefson, DNP · NPI 1316648207
Nurse Anesthetist, Certified Registered physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since March 16, 2023.
## Identity
- **NPI:** 1316648207 (Entity type: Individual)
- **Enumerated:** March 16, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 14214-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 835 S VAN BUREN ST, Green Bay, WI 54301-3526
- **Phone:** (920) 433-0111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Green Bay Anesthesia Assoc. Sc (NPI 1023065836, Green Bay, WI); Nurse Anesthesia Professional Services LLC (NPI 1992066518, Green Bay, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316648207) · Data from the CMS NPPES public registry.