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

Tyler William Shimek

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902416480

Tyler William Shimek is a Certified Registered Nurse Anesthetist (CRNA) in Green Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with Green Bay Anesthesia Assoc SC, a 71-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (920) 901-9496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 131883 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WI)

Record details

NPI number1902416480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address3014 Quarry Park Dr Apt 4, De Pere, WI 54115-8192

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Green Bay Anesthesia Assoc. Sc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay