1. Home
  2. Directory
  3. Wisconsin
  4. Luxemburg
  5. Nurse Practitioner
  6. NPI Profile

ELYSE MARIE ENGEBOSE FNP-C
NPI 1609252139
Nurse Practitioner - Family in Luxemburg, WI

Active since August 06, 2015PECOS EnrolledAccepts Medicare Assignment
140B SCHOOL CREEK TRL, LUXEMBURG, WI 54217(920) 845-1370(920) 845-1379 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2020, Sep 23, 2019, Nov 16, 2015 (3 updates tracked since 2015).

About Elyse Marie Engebose Fnp-c NPPES

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

ELYSE MARIE ENGEBOSE FNP-C (NPI 1609252139) is an individual family provider in Luxemburg, Wisconsin, licensed in Wisconsin (6533-33) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609252139
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELYSE MARIE ENGEBOSECredential: FNP-C
Location Address140B SCHOOL CREEK TRLLuxemburg, WI 54217-1095
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 845-1370
Fax(920) 845-1379
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 6, 2015
Last NPPES UpdateAugust 2, 20233 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1609252139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 6533-33
140B SCHOOL CREEK TRL, Luxemburg, WI 54217
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4560 · Fax (920) 430-4558
Location 2311 N 3rd AveSturgeon Bay, WI 54235 · Phone (920) 743-0255 · Fax (920) 743-6680
Location 32714 Riverview DrGreen Bay, WI 54313-6715 · Phone (920) 430-4760 · Fax (920) 430-4774

Other Identifiers 1

OtherF07151158American Academy Of Nurse Practitioners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Elyse Marie Engebose 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 ID4486963758
PECOS Enrollment IDI20151028000161
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

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.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

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 54217 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 2

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

ELLEN A RADOCAY APNP
Nurse Practitioner (Family)
140B SCHOOL CREEK TRL
LUXEMBURG, WI 54217
Kewaunee County (920) 845-1370
NICHOLAS C ROGGE LPC
Counselor (Professional)
140B SCHOOL CREEK TRL
LUXEMBURG, WI 54217
Kewaunee County (920) 845-1370

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 Elyse Engebose's NPI number?

The NPI number for Elyse Engebose is 1609252139. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Elyse Engebose located?

Elyse Engebose practices at 140B School Creek Trl, Luxemburg, WI 54217. The listed phone number is (920) 845-1370.

What is Elyse Engebose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elyse Engebose enrolled in Medicare?

Yes. Elyse Engebose 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.

What insurance does Elyse Engebose accept?

Health plans from Anthem Blue Cross and Blue Shield list Elyse Engebose 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 Elyse Engebose affiliated with any hospitals?

According to CMS data, Elyse Engebose is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Elyse Engebose was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.