Elizabeth Bohrer is a Physician Assistant practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1760963862, which was assigned on August 27, 2018, and the registration record was last updated on December 9, 2025. The practitioner's main practice location is at 1110 Kepler Dr, Green Bay, WI 54311-8306; the contact telephone number is 9202885555, and the fax number is 9202885550. The primary taxonomy of Elizabeth Bohrer is Physician Assistant (363A00000X). Elizabeth Bohrer is licensed to practice in the state of Wisconsin (#4537).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1760963862 |
| Entity Type | Individual |
| Provider Name | ELIZABETH BOHRER |
| Gender | Female |
| Credential | PAC |
| Practice Address |
1110 Kepler Dr Green Bay WI 54311-8306 |
| Practice Telephone | 9202885555 |
| Practice Fax Number | 9202885550 |
| Mailing Address |
1035 Kepler Dr Green Bay WI 54311-8320 |
| Mailing Telephone | 9204909046 |
| Mailing Fax Number | 9204058005 |
| Certification Date | 2025-12-09 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-12-09 |
| Is Sole Proprietor | N |
| PAC ID |
5597009456 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ELIZABETH J BOHRER |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | MCHS HOSPITALS INC |
| Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ||||
| Y | 363A00000X | Physician Assistant | 4537 | WI |
| Address | Telephone | Fax |
|---|---|---|
| 1700 W Stout St, Rice Lake, WI 548685000 | 7152368100 | |
| 1910 Alabama St, Sturgeon Bay, WI 542353532 | 9202885555 | 9202885550 |
| 3003 University Dr, Marinette, WI 541434110 | 7157328200 | 7157328205 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| Classification | Student in an Organized Health Care Education/Training Program |
| Grouping | Student, Health Care |
| Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
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|---|---|---|---|
| Katie Schluederberg | 9256 Bendix Rd Ste 200a, Columbia, MD 21045-1848 | Physician Assistant | 2026-02-06 |
| Yashaswini Ramesh | 10 Apple Ridge Way, East Brunswick, NJ 08816-2380 | Physician Assistant | 2026-02-07 |
| Maddison Moore Stayberg | 24785 Anderson St, Loma Linda, CA 92354 | Physician Assistant | 2026-02-06 |
| Dhara T Parikh | 1921 Spring Rd, Carlisle, PA 17013-1157 | Physician Assistant | 2026-02-07 |
| Mary Bridget Mcloughlin | 1468 Madison Ave, New York, NY 10029-6508 | Physician Assistant | 2026-02-06 |
| Sofia Fernandez | 348 Rustic Ln, Friendswood, TX 77546-4322 | Physician Assistant | 2026-02-07 |
| Samantha Maldonado | 15547 N Reems Rd, Surprise, AZ 85374-9583 | Physician Assistant | 2026-02-06 |
| Taylor Sekyra | 47 New Scotland Ave, Albany, NY 12208-3479 | Physician Assistant | 2026-02-07 |
| Madeline Marks | 5102 Paulsen St Bldg 4, Savannah, GA 31405-4614 | Physician Assistant | 2026-02-06 |
| Kara Shrider | 15663 Fieldcrest Ct, Granger, IN 46530-9079 | Physician Assistant | 2026-02-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
1110 KEPLER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8306 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Carrie Elizabeth Colligan · Carrie Iskra | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Physician Assistant | 2009-02-05 |
| Elizabeth Anne Polacheck | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Physical Medicine & Rehabilitation Physician | 2007-01-04 |
| Green Bay Rehabilitation Hospital LLC | 1110 Kepler Drive, Green Bay, WI 54311-8321 | Rehabilitation Hospital | 2022-08-04 |
| Kari Becker | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Occupational Therapist | 2025-08-07 |
| Harold J Schock III | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Orthopaedic Surgery Physician | 2007-06-22 |
| Benjamin Collette | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Physical Therapist | 2024-06-04 |
| Carly Jo Coulthart | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Physical Therapist | 2025-06-25 |
| Laura Jayne Harnowski | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Physical Medicine & Rehabilitation Physician | 2023-05-22 |
| Kimberly Anne Vandeyacht | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Pharmacist | 2025-07-28 |
| Kendra Ison | 1110 Kepler Dr, Green Bay, WI 54311-8306 | Occupational Therapist | 2025-06-26 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jamie Lee Noxon · Jamie Lee Johnston | 1496 Bellevue St # 101, Green Bay, WI 54311-4205 | Mental Health Counselor | 2020-10-26 |
| Peter E. Mcmahon · Pete E. Mcmahon | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2006-07-27 |
| Kathryn Meadowcroft | 2581 Development Dr, Green Bay, WI 54311-4247 | Family Nurse Practitioner | 2023-01-06 |
| Golden Counseling, LLC | 2563 Development Dr, Green Bay, WI 54311-4246 | Community/Behavioral Health Agency | 2025-06-19 |
| Grace Woods | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2025-09-03 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| Semyon Zarkhin | 2617 Development Dr, Green Bay, WI 54311-4240 | Dermatology Physician | 2007-07-23 |
| Amritha Chandrahasa Karkera | 2845 Greenbrier Rd, Green Bay, WI 54311 | Hematology & Oncology Physician | 2010-07-21 |
| Jacinda J Hecker | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Social Worker | 2024-07-09 |
| Carrie Kraemer | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-10-04 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ashley Lynn Bohrer · Ashley Lynn Wepasnick | 2041 Georgia Ave Nw Howard University Hospital, Washington, DC 20060 | Physician Assistant | 2019-09-16 |
| Kacey Lynn Zane · Kacey Lynn Bohrer | 24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166-2272 | Registered Nurse | 2021-07-28 |
| Jordan Bohrer | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | Certified Registered Nurse Anesthetist | 2022-04-20 |
| Nicholas Edward Bohrer | 655 Euclid Ave Ste 304, National City, CA 91950-2974 | Pediatric Dermatology Physician | 2019-03-20 |
| Paul Bohrer | 39 Kennedy Rd, 39a, Andover, NJ 07821 | Clinical Social Worker | 2025-09-24 |
| Sarah Kirsten Bohrer | 1564 Market Place Blvd Ste 400, Ocean Isle Beach, NC 28469-5007 | Pediatrics Physician | 2010-09-01 |
| Hannah Elizabeth Warner · Elizabeth Elizabeth Crewdson | 22221 Westernport Rd Sw, Westernport, MD 21562-2206 | Physician Assistant | 2017-08-10 |
| Frank Bohrer | 5601 Loch Raven Blvd, Baltimore, MD 21239-2950 | Occupational Therapist | 2025-07-08 |
| Seth Aaron Bohrer | 1509 Fairmont Ave, Fairmont, WV 26554-2135 | Orthopedic Physical Therapist | 2025-09-18 |
| Joshua D Bohrer | 283 N Lowena Dr, Long Beach, CA 90803-5795 | Massage Therapist | 2025-12-31 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |