ELIZABETH LEVINE
NPI 1750885448
Nurse Practitioner - Family in Green Bay, WI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since March 19, 2018PECOS Enrolled

2502 S ASHLAND AVE, GREEN BAY, WI 54304(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Elizabeth Levine NPPES

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

ELIZABETH LEVINE (NPI 1750885448) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (830633) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1750885448

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH LEVINE

Location Address2502 S ASHLAND AVEGreen Bay, WI 54304-5252

Mailing Address2502 S Ashland AveGreen Bay, WI 54304-5252

Phone(920) 496-4700

Sole ProprietorNo

Enumeration DateMarch 19, 2018

Last NPPES UpdateMarch 23, 2018

✔ NPI 1750885448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 830633

Also ListedRegistered NurseTaxonomy 163W00000X · License 240659 (WI)

2502 S ASHLAND AVE, Green Bay, WI 54304

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Secondary Practice Locations 6

Location 1940 S Saint Augustine StPulaski, WI 54162-9453 · Phone (920) 496-4700

Location 2835 S Main StOconto Falls, WI 54154-1282 · Phone (920) 496-4700

Location 32793 Lineville RdGreen Bay, WI 54313-7152 · Phone (920) 496-4700

Location 43021 Voyager DrGreen Bay, WI 54311-8303 · Phone (920) 496-4700

Location 5102 N Washington StGreen Bay, WI 54301-4209 · Phone (920) 496-4700

Location 63860 Monroe RdDE Pere, WI 54115-8399 · Phone (920) 496-4700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Elizabeth Levine 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 54304 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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