Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Colleen M Van Egeren, PA

Individual provider Physician Assistant · NPI 1265628507

Mrs. Colleen M Van Egeren, PA is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2007, 19 years ago. Practices with Wisconsin Institute of Plastic Surgery SC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

715 Superior Rd Ste 120
Green Bay, WI 54311-7594
Phone: (920) 406-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2178-023 (WI)

Record details

NPI number1265628507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESMarch 7, 2023
Certification dateMarch 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Wisconsin Institute Of Plastic Surgery Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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