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GREEN BAY EMERGENCY MEDICINE SERVICES S.C.
NPI 1366424111
Emergency Medicine in Green Bay, WI

Active since November 17, 2005
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3500 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Green Bay Emergency Medicine Services S.c. NPPES

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

GREEN BAY EMERGENCY MEDICINE SERVICES S.C. (NPI 1366424111) is a healthcare organization registered as an emergency medicine in Green Bay, Wisconsin and active in the NPI registry since November 2005. The organization lists Bradley Burmeister, President, as its authorized official.

NPPES Registry Identity

NPI1366424111
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGREEN BAY EMERGENCY MEDICINE SERVICES S.C.
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 655-1132
Phone(920) 433-3500
Organization SubpartNo
Authorized OfficialBradley BurmeisterPresident · (920) 655-1132
Enumeration DateNovember 17, 2005
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1366424111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
744 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 1

Medicaid21289100WI

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Green Bay Emergency Medicine Services S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Green Bay Emergency Medicine Services S.C., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine18
Nurse Practitioner10
Family Practice5

Nearest to this location (20)

See all 33
Lauren Bancroft, FNP-C
Nurse Practitioner
NPI 1710716691
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 445-7373
✔ PECOS✔ Accepts MedicareSame address
Jason Coisman, DO
Emergency Medicine
NPI 1538135926
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Wendy Coolman, APRN
Nurse Practitioner
NPI 1477155265
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-8230
✔ PECOS✔ Accepts MedicareSame address
Judith Everson, APNP
Nurse Practitioner
NPI 1699730002
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOSSame address
Rance Hafner, MD
Family Practice
NPI 1841274669
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Eric Vogel, D.O.
Emergency Medicine
NPI 1538123757
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOSSame address
Tanya Jensen, FNP-C
Nurse Practitioner
NPI 1043594799
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOSSame address
Megan Bocchicchio
Emergency Medicine
NPI 1932780657
744 S WEBSTER AVE
Green Bay, WI 54301
(949) 939-3479
✔ PECOSSame address
Paul Casey, M.D.
Emergency Medicine
NPI 1427031236
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOSSame address
David Hoyer, M.D.
Emergency Medicine
NPI 1629051164
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Lloyd Cassidy, MD
Emergency Medicine
NPI 1457795569
124 SIEGLER ST
Green Bay, WI 54303
(920) 605-3115
✔ PECOS✔ Accepts Medicare3.5 mi
Melissa Boldt, FNP-C
Nurse Practitioner
NPI 1558108688
2845 GREENBRIER RD
Green Bay, WI 54311
(920) 288-8400
✔ PECOS✔ Accepts Medicare4.0 mi
Kimberly Hoffman, FNP-C
Nurse Practitioner
NPI 1114448040
2845 GREENBRIER RD
Green Bay, WI 54311
(920) 288-8000
✔ PECOS✔ Accepts Medicare4.0 mi
Brandon Boehm, MD
Family Practice
NPI 1619294576
3263 EATON RD
Green Bay, WI 54311
(920) 433-6700
✔ PECOS✔ Accepts Medicare5.2 mi
Tiffany Sasse, APNP
Nurse Practitioner
NPI 1891009627
980 S SAINT AUGUSTINE ST
Pulaski, WI 54162
(920) 882-7700
✔ PECOS✔ Accepts Medicare16 mi
Michael Brenner, M.D.
Family Practice
NPI 1659781441
820 ARBUTUS AVE
Oconto, WI 54153
(920) 835-1100
✔ PECOS✔ Accepts Medicare28 mi
Elizabeth Russell, M.D.
Family Practice
NPI 1851301253
820 ARBUTUS AVE
Oconto, WI 54153
(920) 835-1100
✔ PECOS✔ Accepts Medicare28 mi
Jennifer Finch, D.O.
Emergency Medicine
NPI 1427438977
100 COUNTY ROAD B
Shawano, WI 54166
(715) 526-2111
✔ PECOS✔ Accepts Medicare36 mi
William Hampton, D.O.
Emergency Medicine
NPI 1699766766
100 COUNTY ROAD B
Shawano, WI 54166
(715) 526-2111
✔ PECOS✔ Accepts Medicare36 mi
Kelly Mackowski, APNP
Nurse Practitioner
NPI 1689204075
100 COUNTY ROAD B
Shawano, WI 54166
(715) 526-2111
✔ PECOS✔ Accepts Medicare36 mi
See all 33 clinicians

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

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 Green Bay Emergency Medicine Services S.C.'s NPI number?

The NPI number for Green Bay Emergency Medicine Services S.C. is 1366424111. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Green Bay Emergency Medicine Services S.C. located?

Green Bay Emergency Medicine Services S.C. is located at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3500.

What is Green Bay Emergency Medicine Services S.C.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Green Bay Emergency Medicine Services S.C. enrolled in Medicare?

Yes. Green Bay Emergency Medicine Services S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Bay Emergency Medicine Services S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 3 Medicare specialties reassign their Medicare billing to Green Bay Emergency Medicine Services S.C.. 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 Emergency Medicine (18), Nurse Practitioner (10) and Family Practice (5). Of these, 10 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Green Bay Emergency Medicine Services S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Green Bay Emergency Medicine Services S.C. 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 Green Bay Emergency Medicine Services S.C. was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.