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

Robert Capello, PA-C

Individual provider Physician Assistant · NPI 1184721656

Robert Capello, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2006, 20 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Illinois, Ohio and Wisconsin.

Years since qualifying
20
Licensed in
IL, OH, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2434 Sycamore Dr
Green Bay, WI 54311-5482
Phone: (000) 000-0000
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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 3036 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085003171 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 085-003171 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 50.004410 (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085003171 (IL)

Record details

NPI number1184721656
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2006
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address2434 Sycamore Dr, Green Bay, WI 54311-5482

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Green Bay