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

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: October 18, 2026.

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

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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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
Open in Google Maps ↗

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pazong Thao Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507326378
PECOS Enrollment IDI20260901003557
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

2

Medicare enrollment records show Pazong Thao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
1.1 mi
Otolaryngology
923 ELIZA ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1932565272 (920) 965-4800
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

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 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
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
MELISSA CURIEL NUNEZ
Nurse Practitioner (Family)
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 436-8691
TAYLOR RAE ROTHERHAM-DECREMER NP
Nurse Practitioner
1920 LIBAL ST
GREEN BAY, WI 54301
Brown County (920) 436-8691
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

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 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.

Where is Pazong Thao located?

Pazong Thao practices at 1920 Libal St, Green Bay, WI 54301. The listed phone number is (920) 432-5434.

What is Pazong Thao's specialty?

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

Is Pazong Thao enrolled in Medicare?

Yes. Pazong Thao is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pazong Thao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pazong Thao reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). 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 Pazong Thao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pazong Thao accept?

Health plans from CareSource (Common Ground Healthcare) list Pazong Thao 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 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 2 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.