SIMONE R WARRACK DO
NPI 1982198644
Pediatrics in Green Bay, WI

Q: What is Simone Warrack's NPI number?

The NPI number for Simone Warrack is 1982198644. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Q: What is Simone Warrack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Simone Warrack was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 17, 2018PECOS Enrolled

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 430-4585(920) 430-4569 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2021, Jun 17, 2018 (2 updates tracked since 2018).

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About Simone R Warrack Do NPPES

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

SIMONE R WARRACK DO (NPI 1982198644) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (75620) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1982198644

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSIMONE R WARRACKCredential: DO

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 430-4585

Fax(920) 430-4569

Sole ProprietorNo

Enumeration DateJune 17, 2018

Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1982198644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 75620

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1630 COMMANCHE AVE, Green Bay, WI 54313

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Secondary Practice Location 1

Location 1982185 Nebraska Medical CtrOmaha, NE 68198-2185 · Phone (402) 559-5380 · Fax (402) 559-5137

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 (PECOS)

Simone R Warrack Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Simone Warrack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Memorial Hospital Inc

Same address

Family Medicine

1630 COMMANCHE AVE STE 102
Green Bay, WI 54313

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

NPI 1912420779 (920) 430-4700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 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.

BETHANY J PIOTROWSKI

Physician Assistant