DR. YUSSR M IBRAHIM MD
NPI 1467957936
Anesthesiology - Pain Medicine in De Pere, WI

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
1716 LAWRENCE DR STE 103, DE PERE, WI 54115(920) 632-6800(920) 632-6806 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2025, Nov 25, 2025, May 30, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Yussr M Ibrahim Md NPPES

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

DR. YUSSR M IBRAHIM MD (NPI 1467957936) is an individual pain medicine provider in De Pere, Wisconsin, licensed in Maine (MD27051) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1467957936
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. YUSSR M IBRAHIMCredential: MD
Location Address1716 LAWRENCE DR STE 103De Pere, WI 54115-9108
Mailing Address1716 Lawrence Dr Ste 103De Pere, WI 54115-9108 · (920) 632-6800 · Fax (920) 632-6806
Fax(920) 632-6806
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1467957936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in ME · MD27051
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD27051 (ME)
1716 LAWRENCE DR STE 103, De Pere, WI 54115

Secondary Practice Locations 7

Location 11501 S Madison StAppleton, WI 54915-1846 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 21506 S Oneida StAppleton, WI 54915-1305 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 3614 Memorial DrChilton, WI 53014-1568 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 4500 S Oakwood RdOshkosh, WI 54904-7944 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 52700 W 9th Ave Ste 305Oshkosh, WI 54904-7865 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 6451 E Brooklyn St Ste 1Chilton, WI 53014-1595 · Phone (920) 632-6800 · Fax (920) 632-6806
Location 71540 Lyon Dr Ste 1Neenah, WI 54956-5037 · Phone (920) 632-6800 · Fax (920) 632-6806

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 and accepts Medicare assignment

Dr. Yussr M Ibrahim Md 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 ID8729467998
PECOS Enrollment IDI20230615001783, I20250902001754
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 13

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
61 services44 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
60 services43 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
57 services51 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.
36 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Other Providers at the Same Location NPPES 8

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

Anesthesiology (Pain Medicine)
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Nurse Practitioner
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Anesthesiology
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Physician Assistant
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Pain Medicine (Interventional Pain Medicine)
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Nurse Practitioner
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Nurse Practitioner
1716 LAWRENCE DR STE 103
DE PERE, WI 54115
Anesthesiology (Pain Medicine)
1716 LAWRENCE DR STE 103
DE PERE, WI 54115

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 Yussr Ibrahim's NPI number?

The NPI number for Yussr Ibrahim is 1467957936. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Yussr Ibrahim located?

Yussr Ibrahim practices at 1716 Lawrence Dr Ste 103, De Pere, WI 54115. The listed phone number is (920) 632-6800.

What is Yussr Ibrahim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Yussr Ibrahim enrolled in Medicare?

Yes. Yussr Ibrahim 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 Yussr Ibrahim accept?

Health plans from Network Health list Yussr Ibrahim 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.

Is Yussr Ibrahim affiliated with any hospitals?

According to CMS data, Yussr Ibrahim is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Yussr Ibrahim was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.