JENNIFER LYNN CUMICEK APNP
NPI 1285181818
Nurse Practitioner - Family in Green Bay, WI

NPI Status: Active since September 01, 2016

Contact Information

720 S VANBUREN ST
SUITE 201
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-7488
Fax: (920) 433-7439

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  • Individual
  • Female
  • Years of Experience 10
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER CUMICEK

This page provides the complete NPI Profile along with additional information for Jennifer Cumicek, a provider established in Green Bay, Wisconsin with a medical specialization in Nurse Practitioner, focusing in family and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1285181818 assigned on September 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 7085-33 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1285181818
Provider Name
JENNIFER LYNN CUMICEK APNP
Other Name
JENNIFER LYNN BOETTCHER APNP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
720 S VANBUREN ST SUITE 201 GREEN BAY, WI 54301
Location Phone
(920) 433-7488
Location Fax
(920) 433-7439
Mailing Address
PO BOX 22487 GREEN BAY, WI 54305
Mailing Phone
(920) 445-7222
Mailing Fax
(920) 433-7439
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
09-01-2016
Last Update Date
07-06-2020
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A nurse practitioner (NP) like Jennifer Cumicek is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 2820 Roosevelt Rd
    Marinette, WI 54143
    (715) 735-5225
  • 744 S Webster Ave
    Green Bay, WI 54301
    (920) 433-3500

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
7085-33
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • Chorus Bronze Complete - EPO
  • Chorus Bronze HDHP - EPO
  • Chorus Catastrophic - EPO
  • Chorus Core Bronze - EPO
  • Chorus Core Gold - EPO
  • Chorus Core Silver - EPO
  • Chorus Elite Gold - EPO
  • Chorus Gold - EPO
  • Chorus Silver - EPO
  • Chorus Silver Select - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Robin Oak $1,000 Gold - PPO
  • Robin Oak $1,500 Standard Gold - PPO
  • Robin Select $2,800 Plus Silver - PPO
  • Robin Select $3,500 HSA Silver - PPO
  • Robin Select $5,000 Standard Silver - PPO
  • Robin Select $6,500 Plus Bronze - PPO
  • Robin Select $7,500 Standard Bronze - PPO
  • Robin Select $8,200 HSA Bronze - PPO
  • Robin Select $9,200 Catastrophic - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2016012072OTHER (01)AMERICAN NURSES CREDENTIALING CENTER

Medicare Participation & PECOS Enrollment Status

Jennifer Cumicek is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Cumicek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42507840

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160922000327

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $23.85 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Cumicek is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BELLIN MEMORIAL HOSPITAL744 S WEBSTER AVE
GREEN BAY, WI 54305
(920) 433-3500Acute Care Hospitals

Reviews for JENNIFER LYNN CUMICEK APNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285181818
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216528282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 8 + 2 + 8 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285181818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508106261CARDIOTHORACIC SURGERY ASSOCIATES,LLC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)720 S VANBUREN ST SUITE 202
GREEN BAY, WI 54301
(920) 621-6660
1972948677 SHARON L SANDONA RN
Individual
Registered Nurse720 S VANBUREN ST SUITE 202
GREEN BAY, WI 54301
(920) 438-7155
1376705533 MATTHEW J OUGH MD
Individual
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1952568016DR. JENNIFER ERICKSON-FOSTER M.D.
Individual
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1265605679DR. HADI MOHAMMAD KHAN M.D.
Individual
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1841209806DR. FERDINAND C CASIS MD,FACE
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)720 S VANBUREN ST SUITE 104
GREEN BAY, WI 54301
(920) 433-6050
1225587512MRS. SANDRA RENEE PELNAR C.N.M., W.H.N.P.
Individual
Advanced Practice Midwife720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301
(920) 433-3420
1043485139 VICTOR ADALBERT GERALDEZ DE VILLA M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)720 S VANBUREN ST SUITE 104
GREEN BAY, WI 54301
(920) 433-6050
1366908923 DEAN PATRICK WEYCKER NP
Individual
Nurse Practitioner (Family)720 S VANBUREN ST SUITE 303
GREEN BAY, WI 54301
(920) 433-9621
1083682876 CHERYL L BAILEY M.D.
Individual
Obstetrics & Gynecology720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301
(920) 433-3420
1255683850 CARMEN D. ANDERSON APNP
Individual
Nurse Practitioner (Family)720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1295080646 KATHLEEN JEAN EASTMAN FNP-C
Individual
Nurse Practitioner (Family)720 S VANBUREN ST
GREEN BAY, WI 54301
(920) 433-7488
1174168710 RENEE R SMITH CNM,APNP
Individual
Advanced Practice Midwife720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301
(920) 433-3420
1518046499 YOON WOOK CHUN MD
Individual
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)720 S VANBUREN ST
GREEN BAY, WI 54301
(920) 433-3420
1568681831DR. CHRISTOPHER C RUPP MD
Individual
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1497191951BELLIN MEMORIAL HOSPITAL INC
Organization
Clinic/Center720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301
(920) 468-3444
1104263532BELLIN MEMORIAL HOSPITAL INC
Organization
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488
1063922268 SHIRLEY M JEAN-BAPTISTE APNP
Individual
Nurse Practitioner (Family)720 S VANBUREN ST
GREEN BAY, WI 54301
(920) 433-7488
1902210925DR. RYAN D KUEFLER M.D.
Individual
Obstetrics & Gynecology720 S VANBUREN ST
GREEN BAY, WI 54301
(920) 468-3444
1689010118 NICHOLAS EDWARD COOROUGH M.D.
Individual
Surgery720 S VANBUREN ST SUITE 201
GREEN BAY, WI 54301
(920) 433-7488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285181818, enumerated in the NPI registry as an "individual" on September 01, 2016

The provider is located at 720 S Vanburen St Suite 201 Green Bay, Wi 54301 and the phone number is (920) 433-7488

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 10 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): BELLIN MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.