JASON M NITKE D.O.
NPI 1629026059
Internal Medicine in De Pere, WI

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1881 CHICAGO ST, DE PERE, WI 54115(920) 403-8000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Nov 23, 2021 (2 updates tracked since 2021).

About Jason M Nitke D.o. NPPES

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

JASON M NITKE D.O. (NPI 1629026059) is an individual internal medicine provider in De Pere, Wisconsin, licensed in Wisconsin (46872) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1629026059
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJASON M NITKECredential: D.O.
Location Address1881 CHICAGO STDe Pere, WI 54115-3770
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1629026059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 46872
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1881 CHICAGO ST, De Pere, WI 54115

Secondary Practice Location 1

Location 12845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 288-8000

Other Identifiers 1

Medicaid43515200WI

Accepted 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

Jason M Nitke D.o. 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 ID1456331743
PECOS Enrollment IDI20040726001011
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 10

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.
407 services250 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.
189 services189 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.
90 services72 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
47 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services24 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

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers34 claims69 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims24 services$1.10 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$19.68 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers14 claims60 services$1.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1881 CHICAGO ST
DE PERE, WI 54115
Internal Medicine
1881 CHICAGO ST
DEPERE, WI 54115
Internal Medicine (Allergy & Immunology)
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pharmacy
1881 CHICAGO ST
DE PERE, WI 54115

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 Jason Nitke's NPI number?

The NPI number for Jason Nitke is 1629026059. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jason Nitke located?

Jason Nitke practices at 1881 Chicago St, De Pere, WI 54115. The listed phone number is (920) 403-8000.

What is Jason Nitke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jason Nitke enrolled in Medicare?

Yes. Jason Nitke 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 Jason Nitke accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Jason Nitke 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 Jason Nitke affiliated with any hospitals?

According to CMS data, Jason Nitke is affiliated with Bellin Memorial Hospital and Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Jason Nitke was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.