CANDACE AGRESS COHEN M.D.
NPI 1811927916
Psychiatry & Neurology - Psychiatry in Sturgeon Bay, WI
About Candace Agress Cohen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE AGRESS COHEN M.D. (NPI 1811927916) is an individual psychiatry provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (WI33478) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
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
Candace Agress Cohen M.d. 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 Candace Cohen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 131 clinicians in this Medicare group
Winnebago, WI 54985
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: State Of Wisconsin
- 19 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54235 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.
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
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 Candace Cohen's NPI number?
The NPI number for Candace Cohen is 1811927916. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Candace Cohen located?
Candace Cohen practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-3771.
What is Candace Cohen's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Candace Cohen enrolled in Medicare?
Yes. Candace Cohen 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 Candace Cohen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Cohen reassigns Medicare benefits to 2 organizations: Door County Memorial Hospital (Sturgeon Bay, WI) and Winnebago Mental Health Institute (Winnebago, 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 Candace Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candace Cohen accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and Security Health Plan list Candace Cohen 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 Candace Cohen was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Candace Agress Cohen, M.D. · NPI 1811927916
Psychiatry physician in Sturgeon Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1811927916 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** WI33478 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 323 S 18TH AVE, Sturgeon Bay, WI 54235-1401
- **Phone:** (920) 746-3771
## 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): Door County Memorial Hospital (NPI 1093743874, Sturgeon Bay, WI); Winnebago Mental Health Institute (NPI 1164516506, Winnebago, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** April 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811927916) · Data from the CMS NPPES public registry.