JEFFREY SHAHA
NPI 1326762428
Nurse Practitioner - Family in Green Bay, WI

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3021 VOYAGER DR, GREEN BAY, WI 54311(920) 496-4700 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Oct 3, 2022 (2 updates tracked since 2022).

About Jeffrey Shaha NPPES

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

JEFFREY SHAHA (NPI 1326762428) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (13186-33) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326762428
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY SHAHA
Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303
Mailing Address3021 Voyager DrGreen Bay, WI 54311-8303
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1326762428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 13186-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 154381-30 (WI)
3021 VOYAGER DR, Green Bay, WI 54311

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

Jeffrey Shaha 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 ID5799152088
PECOS Enrollment IDI20221028001688
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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
134 services70 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
134 services67 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
110 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services60 patients
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.
79 services54 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Durable Medical Equipment & Medical Supplies
3021 VOYAGER DR
GREEN BAY, WI 54311
Family Medicine
3021 VOYAGER DR
GREEN BAY, WI 54311
Physical Therapist
3021 VOYAGER DR
GREEN BAY, WI 54311
Nurse Practitioner
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
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 Jeffrey Shaha's NPI number?

The NPI number for Jeffrey Shaha is 1326762428. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Jeffrey Shaha located?

Jeffrey Shaha practices at 3021 Voyager Dr, Green Bay, WI 54311. The listed phone number is (920) 496-4700.

What is Jeffrey Shaha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Shaha enrolled in Medicare?

Yes. Jeffrey Shaha 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 Jeffrey Shaha accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Jeffrey Shaha 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 Jeffrey Shaha affiliated with any hospitals?

According to CMS data, Jeffrey Shaha is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center, Hshs St Clare Memorial Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Shaha was last updated on January 11, 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.