TONI KULJU
NPI 1346727120
Nurse Anesthetist, Certified Registered in Green Bay, WI

Active since July 24, 2018PECOS EnrolledAccepts Medicare Assignment
84.69/100
CMS Quality Rating
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2023, Dec 22, 2021, Jul 24, 2018 (3 updates tracked since 2018).

About Toni Kulju NPPES

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

TONI KULJU (NPI 1346727120) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (122691) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Oshkosh.

NPPES Registry Identity

NPI1346727120
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTONI KULJU
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3575
Mailing Address2655 Howard Cmns Apt 1Green Bay, WI 54313-9342 · (906) 458-0724
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 24, 2018
Last NPPES UpdateMarch 15, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1346727120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 122691
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
835 S VAN BUREN ST, Green Bay, WI 54301

Secondary Practice Location 1

Location 1855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 303-8700

Other Identifiers 1

Medicaid100082377WI

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

Toni Kulju 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 ID2264784222
PECOS Enrollment IDI20181003000808, I20250522000997
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Toni Kulju reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
835 S VAN BUREN ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 129 clinicians in this Medicare group
General Acute Care Hospital
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
Pain Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Bellin Anesthesia Associates Sc
  • 61 clinicians in this Medicare group
Anesthesiology
2223 LIME KILN RD STE 1
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 43 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Anesthesiology
580 W COLLEGE AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 43 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.

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician 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.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

84.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
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.

Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
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 Toni Kulju's NPI number?

The NPI number for Toni Kulju is 1346727120. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Toni Kulju located?

Toni Kulju practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-0111.

What is Toni Kulju's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Toni Kulju enrolled in Medicare?

Yes. Toni Kulju 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 Toni Kulju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Kulju reassigns Medicare benefits to 7 organizations: Green Bay Anesthesia Assoc. Sc (Green Bay, WI), Bellin Memorial Hospital Inc. (Green Bay, WI), Bellin Anesthesia Associates, S.C. (Green Bay, WI), Osms Anesthesia LLC (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and 2 more organizations, listed in the Medicare section above. 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 Toni Kulju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Kulju accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) list Toni Kulju 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 Toni Kulju affiliated with any hospitals?

According to CMS data, Toni Kulju is affiliated with Uphs Marquette Dlp Hospital and Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Toni Kulju was last updated on March 15, 2024. 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.