Bethany Klett-kimble
Bethany Klett-kimble is a Neonatal-Perinatal Medicine Physician in Green Bay, WI, registered under NPI 1679068381. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 835 S VAN BUREN ST, Green Bay, WI 54301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 75204 | WI | Neonatal-Perinatal Medicine Physician primary |
| 75204 | WI | Pediatrics Physician |
This provider holds licence 75204 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 6305237561
- Enrollment ID
- I20221216000395
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal-Perinatal Medicine covers
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NUCC Health Care Provider Taxonomy, code 2080N0001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | 75204 | WI | primary |
| 208000000X | Pediatrics Physician | 75204 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679068381 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 25, 2018 |
| Last updated | Jul 10, 2024 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
835 S VAN BUREN ST Green Bay, WI 54301 (920) 433-0111 |
| Mailing address |
9000 W WISCONSIN AVE Milwaukee, WI 53226 |
| Other identifiers |
1679068381
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 0 | 6 | 8 | 3 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 0 | 6 | 7 | 3 | 7 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.