ELIZABETH ANN JETTON NP
NPI 1629962105
Nurse Practitioner in Green Bay, WI

Active since June 07, 2025PECOS EnrolledAccepts Medicare Assignment
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Jun 7, 2025 (2 updates tracked since 2025).

About Elizabeth Ann Jetton Np NPPES

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

ELIZABETH ANN JETTON NP (NPI 1629962105) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (16876-33) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629962105
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH ANN JETTONCredential: NP
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301-2253
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 7, 2025
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1629962105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 16876-33
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.

1821 S WEBSTER AVE, Green Bay, WI 54301

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

Elizabeth Ann Jetton 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 ID244731396
PECOS Enrollment IDI20250829001358
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.

Hospital Affiliations CMS Care Compare 4

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

Internal Medicine (Interventional Cardiology)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Obstetrics & Gynecology
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Obstetrics & Gynecology
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301

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 Elizabeth Jetton's NPI number?

The NPI number for Elizabeth Jetton is 1629962105. It was assigned to this individual provider in the NPPES registry on June 7, 2025.

Where is Elizabeth Jetton located?

Elizabeth Jetton practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Elizabeth Jetton's specialty?

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

Is Elizabeth Jetton enrolled in Medicare?

Yes. Elizabeth Jetton 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 Elizabeth Jetton accept?

Health plans from CareSource (Common Ground Healthcare) list Elizabeth Jetton 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 Elizabeth Jetton affiliated with any hospitals?

According to CMS data, Elizabeth Jetton is affiliated with St Vincent Hospital, St. Agnes Hospital Hospice, St Mary's Hospital Medical Center and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Elizabeth Jetton was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.