Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLIE GREENWOOD
NPI 1962036830
Nurse Practitioner in De Pere, WI

Active since February 28, 2020PECOS Enrolled
1881 CHICAGO ST, DE PERE, WI 54115(920) 403-8000 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, Aug 29, 2023, Apr 20, 2022 and 4 more (7 updates tracked since 2020).

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

NPI1962036830
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLIE GREENWOOD
Location Address1881 CHICAGO STDe Pere, WI 54115-3770
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
Last NPPES UpdateAugust 28, 20267 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1962036830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 10270
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 229334-30 (WI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10270-33 (WI)
1881 CHICAGO ST, De Pere, WI 54115

Secondary Practice Location 1

Location 13003 W Good Hope RdMilwaukee, WI 53209-2042 · Phone (414) 352-3100

Other Identifiers 1

Medicaid100104190WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kellie Greenwood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.
29 services29 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.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

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.

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.

Family Medicine
1881 CHICAGO ST
DE PERE, WI 54115
Internal Medicine
1881 CHICAGO ST
DEPERE, WI 54115
Internal Medicine (Allergy & Immunology)
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pharmacy
1881 CHICAGO ST
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.

What insurance does Kellie Greenwood accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 5 days 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.