Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Nell Kirsch Rupp, MD

Individual provider Emergency Medicine Physician · NPI 1407077282

Dr. Mary Nell Kirsch Rupp, MD is an Emergency Medicine in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2003, 23 years ago. Practices with Baycare Aurora LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
23
Trained at
Medical College of Wisconsin
Licensed in
MO, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2253 W Mason St
Green Bay, WI 54303-4706
Phone: (920) 327-7250
Fax: (920) 327-7249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 57547 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2007010575 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 200800576 (MO)

Record details

NPI number1407077282
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2003 (23 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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