VICKIEMARIE CLOUTIER MD
NPI 1568467850
Family Medicine in Shawano, WI

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
1300 E GREEN BAY ST, SHAWANO, WI 54166(715) 201-0870 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2026, Apr 29, 2026, Oct 25, 2023 and 1 more (4 updates tracked since 2022).

About Vickiemarie Cloutier Md NPPES

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

VICKIEMARIE CLOUTIER MD (NPI 1568467850) is an individual family medicine provider in Shawano, Wisconsin, licensed in Wisconsin (44889-20) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1568467850
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVICKIEMARIE CLOUTIERCredential: MD
Location Address1300 E GREEN BAY STShawano, WI 54166-2210
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1568467850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 44889-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 E GREEN BAY ST, Shawano, WI 54166

Other Identifiers 4

Other450030594WI · Medicare Ptan
Other34558300Eds
Medicaid34558300WI
Other700C610000Bcbs

Accepted 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

Vickiemarie Cloutier Md 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 ID5395710065
PECOS Enrollment IDI20090723000632
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

7

Medicare enrollment records show Vickiemarie Cloutier reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
Clinic/Center
3400 MINISTRY PKWY
Weston, WI 54476
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
General Acute Care Hospital
1000 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group

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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services64 patients
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.
93 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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 5

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1300 E GREEN BAY ST
SHAWANO, WI 54166
Nurse Practitioner (Family)
1300 E GREEN BAY ST
SHAWANO, WI 54166
Durable Medical Equipment & Medical Supplies
1300 E GREEN BAY ST
SHAWANO, WI 54166
Family Medicine
1300 E GREEN BAY ST
SHAWANO, WI 54166
Nurse Practitioner
1300 E GREEN BAY ST
SHAWANO, WI 54166

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 Vickiemarie Cloutier's NPI number?

The NPI number for Vickiemarie Cloutier is 1568467850. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Vickiemarie Cloutier located?

Vickiemarie Cloutier practices at 1300 E Green Bay St, Shawano, WI 54166. The listed phone number is (715) 201-0870.

What is Vickiemarie Cloutier's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vickiemarie Cloutier enrolled in Medicare?

Yes. Vickiemarie Cloutier 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 Vickiemarie Cloutier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vickiemarie Cloutier reassigns Medicare benefits to 7 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Shawano, WI), Prevea Clinic, Inc. (Green Bay, WI), Mchs Hospitals Inc (Weston, WI), Beaver Dam Community Hospitals Inc (Waupun, WI), Marshfield Clinic Inc (Marshfield, WI) and 2 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 Vickiemarie Cloutier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vickiemarie Cloutier accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Network Health list Vickiemarie Cloutier 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 Vickiemarie Cloutier affiliated with any hospitals?

According to CMS data, Vickiemarie Cloutier is affiliated with Mercy Health System Corp and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Vickiemarie Cloutier was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.