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VITUITY-WISCONSIN EM SC
NPI 1902673486
Emergency Medicine in Green Bay, WI

Active since December 05, 2023
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vituity-wisconsin Em Sc NPPES

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

VITUITY-WISCONSIN EM SC (NPI 1902673486) is a healthcare organization registered as an emergency medicine in Green Bay, Wisconsin and active in the NPI registry since December 2023. The organization lists David Birdsall, Vice President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1902673486
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameVITUITY-WISCONSIN EM SC
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411 · (510) 851-7501
Phone(920) 433-0111
Organization SubpartNo
Authorized OfficialDavid BirdsallVice President And Secretary · (510) 350-2600
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1902673486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
835 S VAN BUREN ST, Green Bay, WI 54301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vituity-wisconsin Em Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

104

Medicare enrollment records show 104 clinicians reassign Medicare billing to Vituity-Wisconsin Em Sc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine94
Nurse Practitioner10

Nearest to this location (20)

See all 104
Chase Hemphill, DO
Emergency Medicine
NPI 1134689987
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts MedicareSame address
Abigail Klein, APNP
Nurse Practitioner
NPI 1942198064
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-8384
✔ PECOS✔ Accepts MedicareSame address
Christopher Kolar, MD
Emergency Medicine
NPI 1962638064
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-8384
✔ PECOS✔ Accepts MedicareSame address
Samuel Leaf, D.O.
Emergency Medicine
NPI 1295155596
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts MedicareSame address
Daniel Mitchell, DO
Emergency Medicine
NPI 1538689443
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts MedicareSame address
Derrick Ferry, NP
Nurse Practitioner
NPI 1831530179
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts MedicareSame address
Timothy Pavek, M.D.
Emergency Medicine
NPI 1851321830
1726 SHAWANO AVE
Green Bay, WI 54303
(920) 498-4200
✔ PECOS✔ Accepts Medicare3.5 mi
Todd Nelson, M.D.
Emergency Medicine
NPI 1144333501
2300 WESTERN AVE
Manitowoc, WI 54220
(920) 320-2011
✔ PECOS✔ Accepts Medicare33 mi
Erika Goddard, APNP
Nurse Practitioner
NPI 1225712524
3003 UNIVERSITY DR
Marinette, WI 54143
(715) 735-4200
✔ PECOS43 mi
Michael Hartmann, DO
Emergency Medicine
NPI 1215986930
3003 UNIVERSITY DR
Marinette, WI 54143
(715) 735-4200
✔ PECOS✔ Accepts Medicare43 mi
Aubrey Hoye, DO
Emergency Medicine
NPI 1396977278
3003 UNIVERSITY DR
Marinette, WI 54143
(715) 735-4200
✔ PECOS✔ Accepts Medicare43 mi
Jeffrey Swift, MD
Emergency Medicine
NPI 1548569767
3003 UNIVERSITY DR
Marinette, WI 54143
(715) 735-4200
✔ PECOS✔ Accepts Medicare43 mi
Gregory Thompson, D.O.
Emergency Medicine
NPI 1932553179
3100 SUPERIOR AVE
Sheboygan, WI 53081
(920) 459-8300
✔ PECOS✔ Accepts Medicare53 mi
Lucas Altman, FNP
Nurse Practitioner
NPI 1285517946
1411 N TAYLOR DR
Sheboygan, WI 53081
(920) 457-4858
✔ PECOS✔ Accepts Medicare53 mi
Matthew Nelson, D.O.
Emergency Medicine
NPI 1720030422
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare54 mi
Isaac Troiano, DO
Emergency Medicine
NPI 1437506268
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1041
✔ PECOS✔ Accepts Medicare54 mi
Nicole Lopez, M.D.
Emergency Medicine
NPI 1962897132
1032 E SUMNER ST
Hartford, WI 53027
(262) 673-2300
✔ PECOS✔ Accepts Medicare84 mi
Philip Diperna, N.P.
Nurse Practitioner
NPI 1508306671
13111 N PORT WASHINGTON RD
Mequon, WI 53097
(414) 290-6720
✔ PECOS✔ Accepts Medicare86 mi
Nathan Vakharia, MD
Emergency Medicine
NPI 1952694531
824 A PETERSON MEMORIAL DR
Niagara, WI 54151
(608) 843-6460
✔ PECOS✔ Accepts Medicare87 mi
Daniel Hampton, DO
Emergency Medicine
NPI 1225226863
601 S CENTER AVE
Merrill, WI 54452
(715) 536-5511
✔ PECOS97 mi
See all 104 clinicians

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

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 Vituity-Wisconsin Em Sc's NPI number?

The NPI number for Vituity-Wisconsin Em Sc is 1902673486. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Vituity-Wisconsin Em Sc located?

Vituity-Wisconsin Em Sc is located at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-0111.

What is Vituity-Wisconsin Em Sc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vituity-Wisconsin Em Sc enrolled in Medicare?

Yes. Vituity-Wisconsin Em Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vituity-Wisconsin Em Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 104 clinicians in 2 Medicare specialties reassign their Medicare billing to Vituity-Wisconsin Em Sc. A 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 the clinician's services. The largest specialties are Emergency Medicine (94) and Nurse Practitioner (10). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vituity-Wisconsin Em Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Vituity-Wisconsin Em Sc 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 Vituity-Wisconsin Em Sc was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.