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SPINE SOLUTIONS OF GREEN BAY LLC
NPI 1538769302
Clinic/Center - Ambulatory Surgical in Bellevue, WI

Active since October 29, 2020CLIA 52D2220783 · Waiver
2595 DEVELOPMENT DR STE 150, BELLEVUE, WI 54311(414) 455-1153(833) 523-9918 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spine Solutions Of Green Bay Llc NPPES

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

SPINE SOLUTIONS OF GREEN BAY LLC (NPI 1538769302) is a healthcare organization registered as an ambulatory surgical in Bellevue, Wisconsin and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Jeremy Scarlett, Owner, as its authorized official.

NPPES Registry Identity

NPI1538769302
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPINE SOLUTIONS OF GREEN BAY LLC
Location Address2595 DEVELOPMENT DR STE 150Bellevue, WI 54311-4288
Mailing Address2124 Kohler Memorial DrSheboygan, WI 53081-3169 · (414) 455-1153 · Fax (833) 523-9918
Phone(414) 455-1153
Fax(833) 523-9918
Organization SubpartNo
Authorized OfficialJeremy ScarlettOwner · (414) 455-1153
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1538769302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2595 DEVELOPMENT DR STE 150, Bellevue, WI 54311
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Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2220783

Spine Solutions Of Green Bay LLC · Green Bay, WI
Active · expires Apr 14, 2027
CLIA Number52D2220783
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorDr. Raymond S. Sohn
Laboratory Phone(920) 838-6426
Laboratory LocationSpine Solutions Of Green Bay LLC2595 Development Dr Ste 150, Green Bay, WI 54311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
52 services28 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
52 services21 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
36 services13 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
34 services11 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
27 services14 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
25 services11 patients

Other Providers at the Same Location NPPES 3

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

SPINE SOLUTIONS OF GREEN BAY LLC
Durable Medical Equipment & Medical Supplies
2595 DEVELOPMENT DR STE 150
GREEN BAY, WI 54311
Brown County (920) 204-6758
PAIN CENTERS OF WISCONSIN-GREEN BAY, LLC
Durable Medical Equipment & Medical Supplies
2595 DEVELOPMENT DR STE 150
GREEN BAY, WI 54311
Brown County (414) 325-7246
SHEILA M TEDDY
Physician Assistant
2595 DEVELOPMENT DR STE 150
GREEN BAY, WI 54311
Brown County (414) 325-7246

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 Spine Solutions Of Green Bay LLC's NPI number?

The NPI number for Spine Solutions Of Green Bay LLC is 1538769302. It was assigned to this organization in the NPPES registry on October 29, 2020.

Where is Spine Solutions Of Green Bay LLC located?

Spine Solutions Of Green Bay LLC is located at 2595 Development Dr Ste 150, Bellevue, WI 54311. The listed phone number is (414) 455-1153.

What is Spine Solutions Of Green Bay LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Spine Solutions Of Green Bay LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2220783) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spine Solutions Of Green Bay LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Security Health Plan and UnitedHealthcare list Spine Solutions Of Green Bay LLC 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 Spine Solutions Of Green Bay LLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.