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

Individual provider Obstetrics & Gynecology Physician · NPI 1477133684

Payden White is an Obstetrics/Gynecology in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
CO, WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2641 Development Dr
Green Bay, WI 54311-4240
Phone: (920) 338-6868
Fax: (920) 338-6869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 86918 (WI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DR.0075665 (CO)

Record details

NPI number1477133684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address744 S Webster Ave, Medical Staff Services, Green Bay, WI 54301-3505

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay