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

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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 St Luke's Hospital Bethlehem, 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 15775 Broadway St Ste 14Lancaster, NY 14086-2456 · Phone (716) 544-8848
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 411180 State Bridge Rd Ste 204Alpharetta, GA 30022-7483 · Phone (943) 343-7313
Location 514453 SE 29th St Ste DChoctaw, OK 73020-6543 · Phone (405) 741-2844
Location 63955 S Farm Road 223Rogersville, MO 65742-8807 · Phone (417) 812-4440 · Fax (417) 208-5880
Location 74131 N Central Expy # 337Dallas, TX 75204-2102 · Phone (414) 690-0069
Location 8122 Wilshire Blvd NStevens Point, WI 54481-1360 · Phone (715) 341-7441
Location 95440 Tuxbury Pond DrFort Worth, TX 76179-1489 · Phone (240) 605-4672
Location 102608 Smyrna RdOzark, MO 65721-7674 · Phone (417) 551-9192 · Fax (417) 551-9193
Location 112230 W Chapman Ave Ste 212Orange, CA 92868-2316 · Phone (714) 712-0711
Location 125101 Willow Springs RdLA Grange, IL 60525-2600 · Phone (708) 245-9000
Location 134536 22nd AveKenosha, WI 53140-5917 · Phone (262) 656-0044 · Fax (262) 885-6340

Other Identifiers 1

Medicaid100005776WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

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, I20240308003215, 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.

Medicare Billing Reassignments

36

Medicare enrollment records show Codie Vassar reassigns Medicare billing to 36 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenosha Community Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
4006 WASHINGTON RD
Kenosha, WI 53144
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1710635677 (262) 656-0044
Nuestra Esperanza Health LLC
19 mi
Psychiatry
1282 E HICKORY CREEK CT
Oak Creek, WI 53154
  • Reassigned Medicare billing, Texas and Wisconsin enrollments
NPI 1073487641 (414) 690-0069
Brain Treatment Center Glenview
35 mi
Family Medicine
2634 PATRIOT BLVD STE C
Glenview, IL 60026
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1841065109 (773) 970-6700
Adventist Health Partners, Inc.
42 mi
Obstetrics & Gynecology
800 BIESTERFIELD RD, STE 2010
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1851746614 (630) 312-7707
Mava Healthcare Systems PLLC
52 mi
Mental Health (Including Community Mental Health Center)
799 ROOSEVELT RD STE 3-03
Glen Ellyn, IL 60137
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1538931902 (708) 356-2400
Cherry Street Services, Inc.
115 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289
Edward W Sparrow Hospital Association
144 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
146 mi
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1578232849 (715) 445-4801
Elevora Eunoia LLC
150 mi
Psychiatric/Mental Health
111 E MAIN ST
Hustler, WI 54637
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1932036050 (608) 548-7196
Aspirus Stevens Point Hospital & Clinics, Inc.
155 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900

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

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 4

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

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 15

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

HANNAH DAVIDSON APSW
Social Worker (Clinical)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
VEDRANA JOVKOVIC APNP
Nurse Practitioner (Family)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700
LUIS DANIEL RUIZ GONZALEZ RDH
Dental Hygienist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-3553
JAVIER DARIO LUNA BLANCO LPC
Counselor (Professional)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700
DR. SACHIN VERMA D.D.S
Dentist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
COURTNEY CHAPLIN RYAN
Behavior Analyst
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 204-5697
DANIELA VILLAGOMEZ RDH
Dental Hygienist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-3558
KENOSHA COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044

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 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.

Where is Codie Vassar located?

Codie Vassar practices at 4006 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 656-0044.

What is Codie Vassar's specialty?

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

Is Codie Vassar enrolled in Medicare?

Yes. Codie Vassar 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 Codie Vassar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Codie Vassar reassigns Medicare benefits to 36 organizations: Kenosha Community Health Center, Inc (Kenosha, WI), Nuestra Esperanza Health LLC (Oak Creek, WI), Brain Treatment Center Glenview (Glenview, IL), Adventist Health Partners, Inc. (Elk Grove Village, IL), Mava Healthcare Systems PLLC (Glen Ellyn, IL) and 31 more organizations, listed in the Medicare section above. 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 Codie Vassar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Codie Vassar accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 27 other insurers list Codie Vassar 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 Codie Vassar affiliated with any hospitals?

According to CMS data, Codie Vassar is affiliated with St Luke's Hospital Bethlehem, Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Riverview Hospital & Clinics Inc.

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 3 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.