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RANDI MANN NP
NPI 1427016609
Nurse Practitioner in Green Bay, WI

Active since May 03, 2006Opted out of Medicare · through Jun 25, 2028
2641 DEVELOPMENT DRIVE, GREEN BAY, WI 54311(920) 338-6868(920) 338-6869 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Randi Mann Np NPPES

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

RANDI MANN NP (NPI 1427016609) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (115033) and active in the NPI registry since May 2006. She has opted out of Medicare through June 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427016609
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRANDI MANNCredential: NP
Location Address2641 DEVELOPMENT DRIVEGreen Bay, WI 54311
Mailing AddressPo Box 5277De Pere, WI 54115-5277 · (920) 338-6868 · Fax (920) 338-6869
Phone(920) 338-6868
Fax(920) 338-6869
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 24, 2009
✔ NPI 1427016609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 115033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2641 DEVELOPMENT DRIVE, Green Bay, WI 54311
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Other Names 1

Former Name (1)Randi Burnham

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Randi Mann Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2018 through June 25, 2028.

Opt-Out Effective DateJune 25, 2018
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Other Providers at the Same Location NPPES 3

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

LINDA SUSAN HAEN FNPC
Nurse Practitioner
2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311
Brown County (920) 338-6868
MICHAEL C O'TOOLE MD
Obstetrics & Gynecology
2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311
Brown County (920) 338-6868
NGOZI NWAMAKA MBAH M.D.
Obstetrics & Gynecology
2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311
Brown County (920) 338-6868

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 Randi Mann's NPI number?

The NPI number for Randi Mann is 1427016609. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Randi Burnham.

Where is Randi Mann located?

Randi Mann practices at 2641 Development Drive, Green Bay, WI 54311. The listed phone number is (920) 338-6868.

What is Randi Mann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Randi Mann enrolled in Medicare?

No. Randi Mann has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Randi Mann was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.