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

Individual provider Obstetrics & Gynecology Physician · NPI 1477133684

Payden White is an Obstetrics/Gynecology in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
CO, WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2641 Development Dr
Green Bay, WI 54311-4240
Phone: (920) 338-6868
Fax: (920) 338-6869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 86918 (WI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DR.0075665 (CO)

Record details

NPI number1477133684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay