SYNERGY MEDICAL SERVICES LLC
NPI 1366820904
Family Medicine in Green Bay, WI

Active since May 15, 2015
2480 MARINA CIR UNIT 114, GREEN BAY, WI 54304(920) 360-6282(920) 283-1278 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Synergy Medical Services Llc NPPES

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

SYNERGY MEDICAL SERVICES LLC (NPI 1366820904) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Green Lake and lists James M Williams, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1366820904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYNERGY MEDICAL SERVICES LLC
Location Address2480 MARINA CIR UNIT 114Green Bay, WI 54304-4875
Mailing Address2480 Marina Cir Unit 114Green Bay, WI 54304-4875 · (920) 360-6282 · Fax (920) 283-1278
Fax(920) 283-1278
Organization SubpartNo
Authorized OfficialJames M WilliamsOwner / President · (920) 573-2107
Enumeration DateMay 15, 2015
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1366820904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 44378-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2480 MARINA CIR UNIT 114, Green Bay, WI 54304

Secondary Practice Location 1

Location 1424 Ernest StGreen Lake, WI 54941-9501 · Phone (920) 573-2107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Synergy Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Synergy Medical Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1407849433
705 THELOSEN DR
Kimberly, WI 54136
(920) 360-6282
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1750479820
500 ALGOMA BLVD UW OSHKOSH - COLLEGE OF NURSING
Oshkosh, WI 54901
(920) 926-2605
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1760875793
9200 W WISCONSIN AVE
Milwaukee, WI 53226
(414) 955-0350
✔ PECOS✔ Accepts Medicare99 mi
Nurse Practitioner
NPI 1932717410
W267S7535 OLYMPIA CT N
Waukesha, WI 53189
(414) 315-6607
✔ PECOS✔ Accepts Medicare109 mi
Internal Medicine
NPI 1023037009
315 MARTIN LUTHER KING JR WAY
Tacoma, WA 98405
(253) 403-1291
✔ PECOS1,657 mi

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 Synergy Medical Services LLC's NPI number?

The NPI number for Synergy Medical Services LLC is 1366820904. It was assigned to this organization in the NPPES registry on May 15, 2015.

Where is Synergy Medical Services LLC located?

Synergy Medical Services LLC is located at 2480 Marina Cir Unit 114, Green Bay, WI 54304. The listed phone number is (920) 360-6282.

What is Synergy Medical Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Synergy Medical Services LLC enrolled in Medicare?

Yes. Synergy Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Synergy Medical Services LLC. 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 Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Synergy Medical Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Synergy Medical Services LLC 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 Synergy Medical Services LLC was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.