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CAROLYN JEAN HALE NURSE PRACTITIONER
NPI 1770376196
Nurse Practitioner - Family in Green Bay, WI

Active since May 28, 2025PECOS EnrolledAccepts Medicare Assignment
1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 430-4700(920) 430-4748 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolyn Jean Hale Nurse Practitioner NPPES

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

CAROLYN JEAN HALE NURSE PRACTITIONER (NPI 1770376196) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (16831-33) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770376196
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN JEAN HALECredential: NURSE PRACTITIONER
Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753
Mailing Address1630 Commanche AveGreen Bay, WI 54313-5753 · (920) 430-4700
Phone(920) 430-4700
Fax(920) 430-4748
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1770376196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 16831-33
1630 COMMANCHE AVE, Green Bay, WI 54313
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.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

Carolyn Jean Hale Nurse Practitioner 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 ID6608389473
PECOS Enrollment IDI20250703001473
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carolyn Hale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
1630 COMMANCHE AVE STE 102
Green Bay, WI 54313
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1912420779 (920) 430-4700
Oconto Hospital & Medical Center, Inc.
27 mi
Rural Health
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1063038313 (920) 846-3092

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 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.

BETHANY J PIOTROWSKI
Physician Assistant
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 433-6000
DR. BRIAN JEFFREY BARKOW PHARM.D.
Pharmacist (Ambulatory Care)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
LISA WICKER RPH
Pharmacist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4555
ERIC ABDUL MD
Preventive Medicine (Occupational Medicine)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
SAMUEL ADAM KRIER PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
JENNIFER L BRIGHT PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4750
ALLISON A KRUEGER PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
TRACEY W BEFAY PA
Physician Assistant
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 433-6000

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 Carolyn Hale's NPI number?

The NPI number for Carolyn Hale is 1770376196. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Carolyn Hale located?

Carolyn Hale practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 430-4700.

What is Carolyn Hale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolyn Hale enrolled in Medicare?

Yes. Carolyn Hale 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 Carolyn Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Hale reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center, Inc. (Oconto Falls, 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 Carolyn Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Hale accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Carolyn Hale 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 Carolyn Hale was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.