MRS. MARYJO LEIGH HEISE APNP
NPI 1689790461
Nurse Practitioner - Family in Green Bay, WI
About Mrs. Maryjo Leigh Heise Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARYJO LEIGH HEISE APNP (NPI 1689790461) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (5010-33) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Maryjo Leigh Heise Apnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Maryjo Heise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1881129351 (Wisconsin)
- 573 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIPhysician 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.
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.
GREEN BAY, WI 54301
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 Maryjo Heise's NPI number?
The NPI number for Maryjo Heise is 1689790461. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Maryjo Heise located?
Maryjo Heise practices at 720 S Vanburen St Suite201, Green Bay, WI 54301. The listed phone number is (920) 433-7488.
What is Maryjo Heise's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maryjo Heise enrolled in Medicare?
Yes. Maryjo Heise 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.
Which organizations bill Medicare for Maryjo Heise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryjo Heise reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryjo Heise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryjo Heise accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Maryjo Heise 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 Maryjo Heise affiliated with any hospitals?
According to CMS data, Maryjo Heise is affiliated with Bellin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Maryjo Heise was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Maryjo Leigh Heise, APNP · NPI 1689790461
Family physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1689790461 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5010-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 S VANBUREN ST, SUITE201, Green Bay, WI 54301-3534
- **Phone:** (920) 433-7488 · **Fax:** (920) 433-7439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bellin Memorial Hospital Inc (NPI 1275874869, Green Bay, WI); Oconto Hospital & Medical Center Inc (NPI 1053279091, Kewaunee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 9, 2022
- **Other identifiers:** Other F0812139
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Source: [NPI Profile](https://npiprofile.com/npi/1689790461) · Data from the CMS NPPES public registry.