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KELLY M SCHAEFER PAC
NPI 1457603276
Physician Assistant in Green Bay, WI

Active since October 03, 2012PECOS EnrolledAccepts Medicare Assignment
1630 COMMANCHE AVE STE 102, GREEN BAY, WI 54313(920) 433-6000(920) 430-4719 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Kelly M Schaefer Pac NPPES

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

KELLY M SCHAEFER PAC (NPI 1457603276) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (3031) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457603276
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY M SCHAEFERCredential: PAC
Location Address1630 COMMANCHE AVE STE 102Green Bay, WI 54313-5753
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-6000
Fax(920) 430-4719
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 3, 2012
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1457603276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 3031
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1630 COMMANCHE AVE STE 102, Green Bay, WI 54313
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Other Names 1

Former Name (1)Kelly M Wildenberg

Secondary Practice Location 1

Location 13263 Eaton Rd Ste 1Green Bay, WI 54311-6830 · Phone (920) 433-6000 · Fax (920) 433-6009

Other Identifiers 2

Other1106582National Commission On Certification Of Physician Assistants
Other3031-23WI · Wi State Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly M Schaefer Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204080872
PECOS Enrollment IDI20130206000627
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services53 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

KATELYNN S PIESCHEK PA-C
Physician Assistant
1630 COMMANCHE AVE STE 102
GREEN BAY, WI 54313
Brown County (920) 433-6000
KAREN M KROLL FNP
Nurse Practitioner (Family)
1630 COMMANCHE AVE STE 102
GREEN BAY, WI 54313
Brown County (920) 433-6000
BELLIN MEMORIAL HOSPITAL INC
Family Medicine
1630 COMMANCHE AVE STE 102
GREEN BAY, WI 54313
Brown County (920) 430-4700

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 Kelly Schaefer's NPI number?

The NPI number for Kelly Schaefer is 1457603276. It was assigned to this individual provider in the NPPES registry on October 3, 2012. The provider is also known as Kelly M Wildenberg.

Where is Kelly Schaefer located?

Kelly Schaefer practices at 1630 Commanche Ave Ste 102, Green Bay, WI 54313. The listed phone number is (920) 433-6000.

What is Kelly Schaefer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Schaefer enrolled in Medicare?

Yes. Kelly Schaefer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Schaefer accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Kelly Schaefer 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 Kelly Schaefer was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.