KELLY ELIZABETH HALBACH PA-C
NPI 1740718105
Physician Assistant - Surgical in Green Bay, WI

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3500 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2022, May 30, 2017 (2 updates tracked since 2017).

About Kelly Elizabeth Halbach Pa-c NPPES

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

KELLY ELIZABETH HALBACH PA-C (NPI 1740718105) is an individual surgical provider in Green Bay, Wisconsin and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1740718105
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY ELIZABETH HALBACHCredential: PA-C
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 30, 2017
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 26, 2022
NPI 1740718105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 4078-23 (WI)
744 S WEBSTER AVE, Green Bay, WI 54301

Secondary Practice Location 1

Location 1720 S VanBuren StGreen Bay, WI 54301-3534 · Phone (920) 433-9621 · Fax (920) 433-0565

Other Identifiers 1

Other1142855National Commission On Certification Of Physician Assistants

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

Kelly Elizabeth Halbach Pa-c 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 ID4183996960
PECOS Enrollment IDI20170815002350
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.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner
744 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 Kelly Halbach's NPI number?

The NPI number for Kelly Halbach is 1740718105. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Kelly Halbach located?

Kelly Halbach practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3500.

What is Kelly Halbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelly Halbach enrolled in Medicare?

Yes. Kelly Halbach 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 Kelly Halbach accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Kelly Halbach 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 Kelly Halbach affiliated with any hospitals?

According to CMS data, Kelly Halbach is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Halbach was last updated on December 27, 2022. 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.