KELLIE GREENWOOD
NPI 1962036830
Nurse Practitioner in De Pere, WI
About Kellie Greenwood NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE GREENWOOD (NPI 1962036830) is an individual nurse practitioner in De Pere, Wisconsin, licensed in Wisconsin (10270) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Greenwood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kellie Greenwood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 275 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54115 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.
DE PERE, WI 54115
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 Kellie Greenwood's NPI number?
The NPI number for Kellie Greenwood is 1962036830. It was assigned to this individual provider in the NPPES registry on February 28, 2020.
Where is Kellie Greenwood located?
Kellie Greenwood practices at 1881 Chicago St, De Pere, WI 54115. The listed phone number is (920) 403-8000.
What is Kellie Greenwood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kellie Greenwood enrolled in Medicare?
Yes. Kellie Greenwood is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kellie Greenwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Greenwood reassigns Medicare benefits to 4 organizations: Baycare Clinic LLP (Green Bay, WI), Aurora Medical Group, Inc. (Sheboygan, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, 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 Kellie Greenwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Greenwood accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Kellie Greenwood 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 Kellie Greenwood was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellie Greenwood · NPI 1962036830
Nurse Practitioner physician in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since February 28, 2020.
## Identity
- **NPI:** 1962036830 (Entity type: Individual)
- **Enumerated:** February 28, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 10270 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1881 CHICAGO ST, De Pere, WI 54115-3770
- **Phone:** (920) 403-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Baycare Clinic LLP (NPI 1588609648, Green Bay, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2026
- **Other identifiers:** Medicaid 100104190 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962036830) · Data from the CMS NPPES public registry.