MRS. JACQUELYN RENEE PHILLIPS APNP
NPI 1609826171
Physician Assistant - Medical in Green Bay, WI

Q: What is Jacquelyn Phillips's NPI number?

The NPI number for Jacquelyn Phillips is 1609826171. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Miss Jacquelyn Renee Mueller Pa-C.

Q: What is Jacquelyn Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

744 S WEBSTER AVE, 2ND FLOOR, GREEN BAY, WI 54301(920) 433-3640 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2015, Nov 13, 2015 (2 updates tracked since 2015).

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About Mrs. Jacquelyn Renee Phillips Apnp NPPES

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

MRS. JACQUELYN RENEE PHILLIPS APNP (NPI 1609826171) is an individual medical provider in Green Bay, Wisconsin, licensed in Wisconsin (1948-023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609826171

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JACQUELYN RENEE PHILLIPSCredential: APNP

Location Address744 S WEBSTER AVE, 2ND FLOORGreen Bay, WI 54301-3505

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 433-3640

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 12, 2006

Last NPPES UpdateDecember 15, 20152 updates tracked since enumeration

✔ NPI 1609826171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WI · 1948-023

744 S WEBSTER AVE, Green Bay, WI 54301

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Other Names 1

Former Name (1)Miss Jacquelyn Renee Mueller Pa-c

Other Identifiers 9

Medicare OSCAR/certification000053WI

Medicare OSCAR/certification000027WI

Medicare OSCAR/certificationP00697658WI

Medicaid42881800WI

Medicare OSCAR/certification000073WI

Medicare OSCAR/certificationK400263489WI

Medicare OSCAR/certification000030WI

Medicare UPINQ65366WI

Medicare OSCAR/certification000041WI

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.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

Mrs. Jacquelyn Renee Phillips Apnp 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 ID4082621446

PECOS Enrollment IDI20060310000149

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 3

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 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.

137 services117 patients

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.

23 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

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.

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)