1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Nurse Practitioner
  6. NPI Profile

TAYLOR RAE ROTHERHAM-DECREMER NP
NPI 1427689074
Nurse Practitioner in Green Bay, WI

Active since February 03, 2020PECOS Enrolled
1920 LIBAL ST, GREEN BAY, WI 54301(920) 436-8691 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Nov 20, 2020, Feb 3, 2020 (3 updates tracked since 2020).

About Taylor Rae Rotherham-decremer Np NPPES

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

TAYLOR RAE ROTHERHAM-DECREMER NP (NPI 1427689074) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (9464-33) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1427689074
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAYLOR RAE ROTHERHAM-DECREMERCredential: NP
Location Address1920 LIBAL STGreen Bay, WI 54301-2471
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 436-8691
Sole ProprietorNo
Enumeration DateFebruary 3, 2020
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1427689074 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 · 9464-33
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.
1920 LIBAL ST, Green Bay, WI 54301
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1723 S Wisconsin StPulaski, WI 54162-9303 · Phone (920) 822-1100 · Fax (920) 822-5731
Location 21630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4700 · Fax (920) 430-4747
Location 31976 Lime Kiln RdGreen Bay, WI 54311-4417 · Phone (920) 445-7377 · Fax (920) 592-9479
Location 42015 Shawano AveGreen Bay, WI 54303-2606 · Phone (920) 592-9478
Location 53415 Custer StManitowoc, WI 54220-4324 · Phone (920) 652-9310 · Fax (920) 652-9316
Location 63263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 433-6000 · Fax (920) 433-6009

Other Identifiers 1

OtherF07191161American Academy Of Nurse Practitioners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Taylor Rae Rotherham-decremer Np 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 9

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

TONY JAMES BUSSE PT
Physical Therapist
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
KRISTINE A KLONOWSKI MS, CCC/SLP
Speech-Language Pathologist
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
JENNY LYNN ZEITLER PTA
Physical Therapy Assistant
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 433-8287
MS. KELLY SAROSIEK DNP, APNP, FNP-BC
Nurse Practitioner (Family)
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (800) 528-7883
BARBARA ANN WALLA OMERNIK RN
Registered Nurse (School)
1920 LIBAL ST
ALLOUEZ, WI 54301
Brown County (920) 445-7373
LINDSEY SHEA CONARD OT
Occupational Therapist
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 432-5434
BELLIN MEMORIAL HOSPITAL INC
Home Health
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 432-5434

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 Taylor Rotherham-decremer's NPI number?

The NPI number for Taylor Rotherham-decremer is 1427689074. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Taylor Rotherham-decremer located?

Taylor Rotherham-decremer practices at 1920 Libal St, Green Bay, WI 54301. The listed phone number is (920) 436-8691.

What is Taylor Rotherham-decremer's specialty?

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

Is Taylor Rotherham-decremer enrolled in Medicare?

Yes. Taylor Rotherham-decremer is registered in the Medicare PECOS enrollment system.

What insurance does Taylor Rotherham-decremer accept?

Health plans from Medica list Taylor Rotherham-decremer 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 Taylor Rotherham-decremer was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.