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MELISSA LYNN BOLDT FNP-C
NPI 1558108688
Nurse Practitioner - Women's Health in Green Bay, WI

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8400(920) 288-8463 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, Jul 15, 2024 (2 updates tracked since 2024).

About Melissa Lynn Boldt Fnp-c NPPES

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

MELISSA LYNN BOLDT FNP-C (NPI 1558108688) is an individual women's health provider in Green Bay, Wisconsin, licensed in Wisconsin (15573) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1558108688
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMELISSA LYNN BOLDTCredential: FNP-C
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 288-8400
Fax(920) 288-8463
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2024
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1558108688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WI · 15573
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 15573-33 (WI)
2845 GREENBRIER RD, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 433-3500

Other Identifiers 1

Medicaid100285195WI

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), HealthPartners 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

Melissa Lynn Boldt Fnp-c 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 ID5193256857
PECOS Enrollment IDI20241004001759
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 Melissa Boldt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Green Bay Emergency Medicine Services S.C.
4.0 mi
Emergency Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Green Bay Emergency Medicine Services Sc
  • 33 clinicians in this Medicare group
NPI 1366424111 (920) 433-3500
Aurora Medical Group, Inc.
51 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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 20

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

AMRITHA CHANDRAHASA KARKERA M.D.
Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
MRS. AMY MACH SCHOENEBECK MS, CGC
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4180
GERALD WILLIAM ECKARDT MD
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8350
ELLEN LINSKENS PT
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
KATIE LYNN LLOYD DO
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
BRADLEY JAY FEDDERLY MD
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8100
EDWARD C VOGEL MD
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
JOHN JEROME KLINKHAMMER CRNA
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-3388

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 Melissa Boldt's NPI number?

The NPI number for Melissa Boldt is 1558108688. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Melissa Boldt located?

Melissa Boldt practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8400.

What is Melissa Boldt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Melissa Boldt enrolled in Medicare?

Yes. Melissa Boldt 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 Melissa Boldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Boldt reassigns Medicare benefits to 2 organizations: Green Bay Emergency Medicine Services S.C. (Green Bay, WI) and Aurora Medical Group, Inc. (Sheboygan, 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 Melissa Boldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Boldt accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Melissa Boldt 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 Melissa Boldt affiliated with any hospitals?

According to CMS data, Melissa Boldt is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Boldt was last updated on July 7, 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.