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BETHANY MARIE KLETT-KIMBLE
NPI 1679068381
Pediatrics - Neonatal-Perinatal Medicine in Green Bay, WI

Active since June 25, 2018PECOS Enrolled
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Oct 12, 2022, Jun 17, 2021 and 1 more (4 updates tracked since 2018).

About Bethany Marie Klett-kimble NPPES

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

BETHANY MARIE KLETT-KIMBLE (NPI 1679068381) is an individual neonatal-perinatal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (75204) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679068381
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameBETHANY MARIE KLETT-KIMBLE
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-6820 · Fax (414) 266-6979
Phone(920) 433-0111
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1679068381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in WI · 75204
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 75204 (WI)
835 S VAN BUREN ST, Green Bay, WI 54301
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Other Identifiers 1

Medicaid1679068381WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Network Health.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)

Bethany Marie Klett-kimble 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.

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.

MARY LYNN BARTEL MD
Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. EKMINI WIJESINGHE MD
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Brown County (920) 272-1586
SALLY SCHLISE MD
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8184
GREEN BAY ANESTHESIA ASSOC. SC
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
LEE JAMES KLEMENS MD
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. REGINALD E JULIEN M.D.
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
ASHLEY M SPINDLER PA
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. CHARLES F DAIS II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8047

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 Bethany Klett-kimble's NPI number?

The NPI number for Bethany Klett-kimble is 1679068381. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Bethany Klett-kimble located?

Bethany Klett-kimble practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-0111.

What is Bethany Klett-kimble's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Bethany Klett-kimble enrolled in Medicare?

Yes. Bethany Klett-kimble is registered in the Medicare PECOS enrollment system.

What insurance does Bethany Klett-kimble accept?

Health plans from HealthPartners and Network Health list Bethany Klett-kimble 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 Bethany Klett-kimble was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.