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PAYDEN WHITE
NPI 1477133684
Obstetrics & Gynecology in Green Bay, WI

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
2641 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 338-6868(920) 338-6869 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Apr 12, 2021 (2 updates tracked since 2021).

About Payden White NPPES

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

PAYDEN WHITE (NPI 1477133684) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (86918) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1477133684
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePAYDEN WHITE
Location Address2641 DEVELOPMENT DRGreen Bay, WI 54311-4240
Mailing Address744 S Webster Ave, Medical Staff ServicesGreen Bay, WI 54301-3505
Phone(920) 338-6868
Fax(920) 338-6869
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1477133684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 86918✔ Licensed in CO · DR.0075665
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2641 DEVELOPMENT DR, Green Bay, WI 54311
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Payden White 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 ID547664294
PECOS Enrollment IDI20250806000952, I20260624002765
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Payden White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
0.9 mi
Family Medicine
1976 LIME KILN RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1346293941 (920) 406-9865
Oconto Hospital & Medical Center Inc
24 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640
Lutheran Hospital Association Of The San Luis Valley
1,049 mi
Obstetrics & Gynecology
106 BLANCA AVE
Alamosa, CO 81101
  • Reassigned Medicare billing, Colorado enrollment
  • 203 clinicians in this Medicare group
NPI 1720269434 (719) 589-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 12

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

MARGARET O'TOOLE D.C
Chiropractor (Nutrition)
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
MEGAN E TEMP M.D.
Obstetrics & Gynecology
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
PAM NILES NP
Nurse Practitioner
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
BELLIN MEMORIAL HOSPITAL
Obstetrics & Gynecology
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
NYLENE BRITTAIN CNM
Advanced Practice Midwife
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
JORY A OUGH M.D.
Obstetrics & Gynecology
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
NEW GASMASTERS LLC
Nurse Anesthetist, Certified Registered
2641 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 338-6868
MS. ALLISON MARY BIRSCHBACH PT, DPT
Physical Therapist
2641 DEVELOPMENT DR
BELLEVUE, 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 Payden White's NPI number?

The NPI number for Payden White is 1477133684. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Payden White located?

Payden White practices at 2641 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 338-6868.

What is Payden White's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Payden White enrolled in Medicare?

Yes. Payden White 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.

Which organizations bill Medicare for Payden White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payden White reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and Lutheran Hospital Association Of The San Luis Valley (Alamosa, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Payden White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payden White accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Payden White 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 Payden White was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.