OrganizationActive
Medexpress Primary Care Wisconsin, S.c.
NPI 1912650607 · General Practice Physician · De Pere, WI
Provider details
- NPI number
- 1912650607
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brett Gall, Director of Payor Contracting(304) 225-2500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 Innovation Ct
De Pere, WI 54115-6009
Phone: (920) 661-4215
Fax: (920) 661-4277
Street-level locationGet directions
Mailing address
1001 Consol Energy Dr
Canonsburg, PA 15317-6506
Other names (DBA / former)
- Doing business as
- The Well - Green Bay
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.