MRS. DIANE LYNN VANDERLIN RN MSN APNP C
NPI 1407807563
Nurse Practitioner - Family in Green Bay, WI

Active since May 13, 2006PECOS Enrolled
725 S WEBSTER AVE STE 303, GREEN BAY, WI 54301(920) 431-5650(920) 433-7400 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2022, Nov 10, 2021 (2 updates tracked since 2021).

About Mrs. Diane Lynn Vanderlin Rn Msn Apnp C NPPES

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

MRS. DIANE LYNN VANDERLIN RN MSN APNP C (NPI 1407807563) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (1309-33) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1407807563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DIANE LYNN VANDERLINCredential: RN MSN APNP C
Location Address725 S WEBSTER AVE STE 303Green Bay, WI 54301-3539
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Fax(920) 433-7400
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
NPI 1407807563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WI · 1309-33 Licensed in MI · 4704152987
725 S WEBSTER AVE STE 303, Green Bay, WI 54301

Secondary Practice Locations 4

Location 11305 West American DriveNeenah, WI 54956-2883 · Phone (920) 725-9373 · Fax (920) 720-7392
Location 2820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100
Location 32820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388
Location 4212 E B StIron Mountain, MI 49801-3411 · Phone (906) 776-9040 · Fax (906) 774-5950

Other Identifiers 2

Medicaid43830900WI
Other0240937American Nurses Credentialing Center

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 (PECOS)

Mrs. Diane Lynn Vanderlin Rn Msn Apnp C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
725 S WEBSTER AVE STE 303
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 303
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 303
GREEN BAY, WI 54301
Internal Medicine (Gastroenterology)
725 S WEBSTER AVE STE 303
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407807563, enumerated as an "individual" on May 13, 2006.

The provider is located at 725 S WEBSTER AVE STE 303 GREEN BAY, WI 54301 and the phone number is (920) 431-5650.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Aspirus Health Plan, CareSource (Common Ground. Please consult your insurance carrier or call the provider to verify.