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

VICKIEMARIE CLOUTIER MD
NPI 1568467850
Family Medicine in Shawano, WI

Q: 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.

Q: What is Vickiemarie Cloutier's specialty?

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

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: August 23, 2026.

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

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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

Phone(715) 201-0870

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

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Other Identifiers 4

Other450030594WI · Medicare Ptan

Other34558300Eds

Medicaid34558300WI

Other700C610000Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans.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

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.

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

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

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.

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Clinic/Center (Mental Health (Including Community Mental Health Center))