Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAZONG THAO APNP
NPI 1508740416
Nurse Practitioner - Family in Green Bay, WI

Q: What is Pazong Thao's NPI number?

The NPI number for Pazong Thao is 1508740416. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Pazong Thao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pazong Thao was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since August 04, 2025PECOS Enrolled

1920 LIBAL ST, GREEN BAY, WI 54301(920) 432-5434 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2026, Aug 4, 2025 (2 updates tracked since 2025).

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About Pazong Thao Apnp NPPES

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

PAZONG THAO APNP (NPI 1508740416) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (17177-33) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508740416

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAZONG THAOCredential: APNP

Location Address1920 LIBAL STGreen Bay, WI 54301-2453

Mailing Address1920 Libal StGreen Bay, WI 54301-2453 · (920) 432-5434

Phone(920) 432-5434

Sole ProprietorYes

Enumeration DateAugust 4, 2025

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1508740416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 17177-33

1920 LIBAL ST, Green Bay, WI 54301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pazong Thao Apnp 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 11

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

TONY JAMES BUSSE PT

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