DR. SHIRLEY N TETTEH (MD) – Hospitalist Physician, NPI 1114210473

DR. SHIRLEY N TETTEH (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in HOSPITALIST, INTERNAL MEDICINE, INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 64412 (WI). The NPI Number for DR. SHIRLEY N TETTEH (MD) is 1114210473

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIRLEY N TETTEH (MD)
NPI
1114210473
Phone
(920) 433-0111
Address
835 S VAN BUREN ST
Enumeration Date
19 May 2011
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188287400
Graduation Year
2004 (22 years ago)
PAC ID
9638318504
Group Practice PAC ID
8224948443
Professional Enrollment ID
I20240521003105
Address ID
MN564013054BR523XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,086 HOSPITALIST in WI

Provider Addresses for DR. SHIRLEY N TETTEH (MD)

  • 835 S VAN BUREN ST

    GREEN BAY, WI 543013526

    Phone: (920) 433-0111

    Type: Mailing

  • 2600 S Heritage Woods Dr

    Appleton, WI 549151408

    Phone: (920) 225-7875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150911000555IInternal MedicineWITBD
I20240521003105IHospitalistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes438168$0
99239Hospital discharge day management, more than 30 minutes125120$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8582$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224948443View full group profile
NameSpecialtyState
-MN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)ND
Nurse PractitionerMN
Emergency MedicineMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Diagnostic RadiologyMN
Nurse PractitionerMN
-MN

Reviews

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Frequently asked questions

What NPI should I save for DR. SHIRLEY N TETTEH (MD)?
Save NPI 1114210473 if you need a stable reference for DR. SHIRLEY N TETTEH (MD).
Is DR. SHIRLEY N TETTEH (MD) currently active in the NPI registry?
CMS-published data lists DR. SHIRLEY N TETTEH (MD) as an active registrant.
What field does DR. SHIRLEY N TETTEH (MD) work in?
You can think of DR. SHIRLEY N TETTEH (MD) as practicing within Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does DR. SHIRLEY N TETTEH (MD) practice in Wisconsin?
You will see Green Bay, Wisconsin on file for DR. SHIRLEY N TETTEH (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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