Kimberly J Wilcox, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI

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Kimberly J Wilcox, CRNA is a medicare enrolled "Registered Nurse" in Green Bay, Wisconsin. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Avera Mckennan, Sioux Falls Specialty Hospital, Llp and her current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-3500.

Kimberly J Wilcox is licensed to practice in Wisconsin (license number 148836) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629277587.

Contact Information

Kimberly J Wilcox, CRNA
744 S Webster Ave,
Green Bay, WI 54301-3505
(920) 433-3500
Not Available

Map and Direction




Provider's Profile

Full NameKimberly J Wilcox
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience22 Years
Location744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly J Wilcox graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1629277587
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820040959
  • Enrollment ID: I20081126000063

Medical Identifiers

Medical identifiers for Kimberly J Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629277587NPI-NPPES
44339100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 072750 (Illinois)Secondary
163W00000XRegistered Nurse 148836 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Sioux Falls Specialty Hospital LlpSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103957
Sioux Falls Specialty Hospital, Llp317351089853

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly J Wilcox allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699009944
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790721280
PECOS PAC ID: 6800707100
Enrollment ID: O20031111000266
Entity NameSacred Heart Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861611683
PECOS PAC ID: 6103729066
Enrollment ID: O20040128000978
Entity NameSioux Falls Specialty Hospital, LLP
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1316946809
PECOS PAC ID: 3173510898
Enrollment ID: O20161222000078

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly J Wilcox is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly J Wilcox, CRNA
225 S Executive Dr,
Brookfield, WI 53005-4257

Ph: (262) 787-4026		Kimberly J Wilcox, CRNA
744 S Webster Ave,
Green Bay, WI 54301-3505

Ph: (920) 433-3500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.