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MRS. ANTONETTE K STAHNKE PA-C
NPI 1639665193
Physician Assistant in Green Bay, WI

Active since July 09, 2018PECOS Enrolled
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7300(920) 327-7301 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Dec 13, 2022, Jul 9, 2018 (3 updates tracked since 2018).

About Mrs. Antonette K Stahnke Pa-c NPPES

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

MRS. ANTONETTE K STAHNKE PA-C (NPI 1639665193) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (4940) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1639665193
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ANTONETTE K STAHNKECredential: PA-C
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (920) 327-7300 · Fax (920) 327-7301
Phone(920) 327-7300
Fax(920) 327-7301
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateApril 19, 20233 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1639665193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 4940
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2253 W MASON ST, Green Bay, WI 54303
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Other Names 1

Other Name (5)Ms. Antonette Renee Knar

Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (847) 990-5300

Other Identifiers 1

Medicaid100100258WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Antonette K Stahnke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 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.

NICOLE L LOWE APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
BRAD J LAVALLIE OD
Optometrist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
HEIDI KATHRYN BERGMAN PT, DPT
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 288-4712
JULIE A MAGNIN M.D.
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
CLINTON B OLSON MD
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
NICHOLAS JAMES HEEZEN D.O.
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. MARK R KROLL D.O.
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
SHANNA M SEBERO APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300

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 Antonette Stahnke's NPI number?

The NPI number for Antonette Stahnke is 1639665193. It was assigned to this individual provider in the NPPES registry on July 9, 2018. The provider is also known as Ms. Antonette Renee Knar.

Where is Antonette Stahnke located?

Antonette Stahnke practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7300.

What is Antonette Stahnke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Antonette Stahnke enrolled in Medicare?

Yes. Antonette Stahnke is registered in the Medicare PECOS enrollment system.

What insurance does Antonette Stahnke accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners and Quartz list Antonette Stahnke 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.

When was this NPI record last updated?

The NPPES record for Antonette Stahnke was last updated on April 19, 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.