AMY VAN GHEEM MD
NPI 1649407412
Obstetrics & Gynecology in Green Bay, WI

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
93.44/100
CMS Quality Rating
1860 SHAWANO AVE, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Van Gheem Md NPPES

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

AMY VAN GHEEM MD (NPI 1649407412) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (60425-20) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of University Of Utah School Of Medicine (2009).

NPPES Registry Identity

NPI1649407412
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMY VAN GHEEMCredential: MD
Location Address1860 SHAWANO AVEGreen Bay, WI 54303-2667
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1649407412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 60425-20
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1860 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Medicaid100031424WI

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

Amy Van Gheem Md 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 ID9739323833
PECOS Enrollment IDI20130911000183
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

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

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
$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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.61
Promoting Interoperability99
Improvement Activities40
Cost76.71

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.

Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner (Family)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Infectious Disease)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Otolaryngology
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner (Family)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303

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 Amy Van Gheem's NPI number?

The NPI number for Amy Van Gheem is 1649407412. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Amy Van Gheem located?

Amy Van Gheem practices at 1860 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Amy Van Gheem's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amy Van Gheem enrolled in Medicare?

Yes. Amy Van Gheem 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 Amy Van Gheem accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Security Health Plan list Amy Van Gheem 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 Amy Van Gheem affiliated with any hospitals?

According to CMS data, Amy Van Gheem is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Amy Van Gheem was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.