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HEATHER KRISTINE ELERTSON NP
NPI 1619523115
Nurse Practitioner in Green Bay, WI

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(414) 646-2550 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2020, Aug 12, 2019 (2 updates tracked since 2019).

About Heather Kristine Elertson Np NPPES

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

HEATHER KRISTINE ELERTSON NP (NPI 1619523115) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (9485) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Thedacare Medical Center - Shawano, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619523115
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER KRISTINE ELERTSONCredential: NP
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 646-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 12, 2019
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1619523115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9485
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9485-33 (WI)
2845 GREENBRIER RD, Green Bay, WI 54311
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Secondary Practice Locations 2

Location 1W2035 Auburn Ashford DrCampbellsport, WI 53010-3138 · Phone (262) 305-1877
Location 2100 County Road BShawano, WI 54166-7072 · Phone (715) 524-2161 · Fax (715) 526-3461

Other Identifiers 1

Medicaid100097672WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Heather Kristine Elertson Np 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 ID3678901444
PECOS Enrollment IDI20200311000061
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

3

Medicare enrollment records show Heather Elertson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare, Incorporated
29 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300
Thedacare Medical Center - Shawano, Inc.
40 mi
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 174 clinicians in this Medicare group
NPI 1548260839 (715) 526-2111
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano 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 Heather Elertson's NPI number?

The NPI number for Heather Elertson is 1619523115. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Heather Elertson located?

Heather Elertson practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (414) 646-2550.

What is Heather Elertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Elertson enrolled in Medicare?

Yes. Heather Elertson 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 Heather Elertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Elertson reassigns Medicare benefits to 3 organizations: Thedacare, Incorporated (Menasha, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, 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 Heather Elertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Elertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 3 other insurers list Heather Elertson 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 Heather Elertson affiliated with any hospitals?

According to CMS data, Heather Elertson is affiliated with Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Heather Elertson was last updated on June 16, 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.