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GREEN BAY REHABILITATION HOSPITAL LLC
NPI 1902533474
Rehabilitation Hospital in Green Bay, WI

Active since August 04, 2022CLIA 52D2269392 · Waiver
1110 KEPLER DRIVE, GREEN BAY, WI 54311(920) 304-9695 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2025, Aug 15, 2023, Aug 4, 2022 (3 updates tracked since 2022).

About Green Bay Rehabilitation Hospital Llc NPPES

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

GREEN BAY REHABILITATION HOSPITAL LLC (NPI 1902533474), doing business as Green Bay Rehabilitation Hospital, is a healthcare organization registered as a rehabilitation hospital in Green Bay, Wisconsin and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Denise Kann, Vice President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1902533474
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameGREEN BAY REHABILITATION HOSPITAL LLC
Location Address1110 KEPLER DRIVEGreen Bay, WI 54311-8321
Mailing Address1024 N Galloway Ave Ste 102Mesquite, TX 75149-2434 · (972) 216-2299
Phone(920) 304-9695
Organization SubpartNo
Authorized OfficialDenise KannVice President And Secretary · (972) 216-2299
Enumeration DateAugust 4, 2022
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1902533474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

1110 KEPLER DRIVE, Green Bay, WI 54311
Open in Google Maps ↗

Other Names 1

Doing Business AsGreen Bay Rehabilitation Hospital

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), Network Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2269392

Green Bay Rehabilitation Hospital · Green Bay, WI
Active · expires Sep 25, 2026
CLIA Number52D2269392
Laboratory TypeHospital
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorDr. Elizabeth A. Polacheck
Laboratory Phone(920) 304-9695
Laboratory LocationGreen Bay Rehabilitation Hospital1110 Kepler Dr Suite 200, Green Bay, WI 54311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Green Bay Rehabilitation Hospital (CMS certification number 523031), from CMS Care Compare.

Green Bay Rehabilitation Hospital

Inpatient rehabilitation facility · Green Bay, WI
OwnershipFor profit
CMS Certification Number523031
Medicare-Certified SinceMay 5, 2023
Location1110 Kepler DrGreen Bay, WI 54311
Phone(920) 304-9695
Freestanding rehabilitation hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Hip or knee replacement, amputation or other bone or joint condition
68
patient stays
Stroke
29
patient stays
Nervous system disorder (excluding stroke)
20
patient stays
Brain disease or condition (non-traumatic)
16
patient stays
Hip or femur fracture
14
patient stays
Brain injury (traumatic)
Less than 11 patient stays
Spinal cord disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
40
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 204 patient stays
99%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 150 patient stays
98%
Medication list sent to the next provider at discharge
Transfer of Health Information to the Provider · 54 patient stays
100%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 180 patient stays
79.4%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 180 patient stays
67.8%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 180 patient stays
77.78%
Patients who experienced one or more falls with major injury during their stay
204 patient stays · Lower rates are better for this measure.
1%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 204 patient stays · observed rate 3.4% · Lower rates are better for this measure.
2.3%
Healthcare workers up to date on COVID-19 vaccination
103 healthcare workers
7.8%
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

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 Green Bay Rehabilitation Hospital LLC's NPI number?

The NPI number for Green Bay Rehabilitation Hospital LLC is 1902533474. It was assigned to this organization in the NPPES registry on August 4, 2022. The provider is doing business as Green Bay Rehabilitation Hospital.

Where is Green Bay Rehabilitation Hospital LLC located?

Green Bay Rehabilitation Hospital LLC is located at 1110 Kepler Drive, Green Bay, WI 54311. The listed phone number is (920) 304-9695.

What is Green Bay Rehabilitation Hospital LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Does Green Bay Rehabilitation Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2269392) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Green Bay Rehabilitation Hospital LLC a Medicare-certified inpatient rehabilitation facility?

Yes. Green Bay Rehabilitation Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 523031), certified since May 5, 2023.

What insurance does Green Bay Rehabilitation Hospital LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Green Bay Rehabilitation Hospital LLC 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 Green Bay Rehabilitation Hospital LLC was last updated on November 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.