JACQUELINE M KAUFMAN AGPCNP-BC
NPI 1861926396
Nurse Practitioner in Green Bay, WI

Q: What is Jacqueline Kaufman's NPI number?

The NPI number for Jacqueline Kaufman is 1861926396. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Jacqueline M Craig Agpcnp-Bc.

Q: What is Jacqueline Kaufman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3640(920) 433-3716 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2019, May 8, 2019, Sep 20, 2018 and 4 more (7 updates tracked since 2017).

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About Jacqueline M Kaufman Agpcnp-bc NPPES

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

JACQUELINE M KAUFMAN AGPCNP-BC (NPI 1861926396) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (7839-33) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861926396

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE M KAUFMANCredential: AGPCNP-BC

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229

Phone(920) 433-3640

Fax(920) 433-3716

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 11, 2017

Last NPPES UpdateDecember 31, 20197 updates tracked since enumeration

✔ NPI 1861926396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 7839-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 232951-30 (WI)

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704297325 (MI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 7839-33 (WI)

744 S WEBSTER AVE, Green Bay, WI 54301

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Other Names 1

Former Name (1)Jacqueline M Craig Agpcnp-bc

Secondary Practice Locations 2

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Location 2820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100 · Fax (920) 835-1099

Accepted Insurance

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

Jacqueline M Kaufman Agpcnp-bc 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 ID5294093977

PECOS Enrollment IDI20180102000229

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

Medicare enrollment records show Jacqueline Kaufman 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

744 S WEBSTER AVE
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1033172390 (920) 445-7272

Oconto Hospital & Medical Center Inc

24 mi

Rural Health

575 4TH ST
Kewaunee, WI 54216

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1053279091 (920) 388-4640

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521356

Location820 Arbutus AveOconto, WI 54153 · Oconto County

Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician 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.

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.

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)