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

DR. CODIE JORDAN VASSAR M.D
NPI 1538690995
Psychiatry & Neurology - Psychiatry in Kenosha, WI

Q: What is Codie Vassar's NPI number?

The NPI number for Codie Vassar is 1538690995. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Codie Vassar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Codie Vassar was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 27, 2017PECOS Enrolled

4006 WASHINGTON RD, KENOSHA, WI 53144(262) 656-0044(262) 885-6340 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Jul 8, 2026, May 12, 2026 and 14 more (17 updates tracked since 2017).

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About Dr. Codie Jordan Vassar M.d NPPES

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

DR. CODIE JORDAN VASSAR M.D (NPI 1538690995) is an individual psychiatry provider in Kenosha, Wisconsin, licensed in Wisconsin (6978320) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1538690995

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. CODIE JORDAN VASSARCredential: M.D

Location Address4006 WASHINGTON RDKenosha, WI 53144-4819

Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-4400 · Fax (262) 649-1977

Phone(262) 656-0044

Fax(262) 885-6340

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 27, 2017

Last NPPES UpdateJuly 24, 202617 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1538690995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in WI · 6978320✔ Licensed in IN · 01088491A✔ Licensed in TX · T8967✔ Licensed in IL · 036159195✔ Licensed in NY · 327809-01✔ Licensed in FL · ME165983✔ Licensed in MO · 2023032985✔ Licensed in CA · A182671✔ Licensed in WI · T8967

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 6978320 (WI)

4006 WASHINGTON RD, Kenosha, WI 53144

Open in Google Maps ↗

Secondary Practice Locations 13

Location 114453 SE 29th St Ste DChoctaw, OK 73020-6543 · Phone (405) 741-2844

Location 23060 Loopdale LnKissimmee, FL 34741-7659 · Phone (407) 775-2121 · Fax (888) 272-4324

Location 3712 E Peace StCanton, MS 39046-4731 · Phone (414) 690-0069

Location 45440 Tuxbury Pond DrFort Worth, TX 76179-1489 · Phone (240) 605-4672

Location 54131 N Central Expy # 337Dallas, TX 75204-2102 · Phone (414) 690-0069

Location 63955 S Farm Road 223Rogersville, MO 65742-8807 · Phone (417) 812-4440 · Fax (417) 208-5880

Location 74536 22nd AveKenosha, WI 53140-5917 · Phone (262) 656-0044 · Fax (262) 885-6340

Location 85101 Willow Springs RdLA Grange, IL 60525-2600 · Phone (708) 245-9000

Location 92230 W Chapman Ave Ste 212Orange, CA 92868-2316 · Phone (714) 712-0711

Location 10122 Wilshire Blvd NStevens Point, WI 54481-1360 · Phone (715) 341-7441

Location 112608 Smyrna RdOzark, MO 65721-7674 · Phone (417) 551-9192 · Fax (417) 551-9193

Location 125775 Broadway St Ste 14Lancaster, NY 14086-2456 · Phone (716) 544-8848

Location 1311180 State Bridge Rd Ste 204Alpharetta, GA 30022-7483 · Phone (943) 343-7313

Other Identifiers 1

Medicaid100005776WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Superior HealthPlan, Ambetter Health and more.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. Codie Jordan Vassar M.d 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 ID5496009565

PECOS Enrollment IDI20181109000024, I20220128001707, I20231003001607, I20231112000076, I20240105000603, I20240316000053, I20260527001160

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 6

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.

364 services99 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

40 services24 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

40 services39 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

35 services35 patients

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427

A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.

26 services25 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

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 14

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

HANNAH DAVIDSON APSW

Social Worker (Clinical)