DANIELLE M COVACH (DO) – Family Medicine Physician, NPI 1073994018

DANIELLE M COVACH (DO) is a healthcare provider. based in Ripon, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 66703 (WI). The NPI Number for DANIELLE M COVACH (DO) is 1073994018

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE M COVACH (DO)
NPI
1073994018
Phone
(920) 745-3520
Address
835 PARKSIDE ST
Enumeration Date
16 June 2015
Last Update Date
14 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207483101
Graduation Year
2015 (11 years ago)
PAC ID
7810248101
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20180926000673
Address ID
WI549718505RI835XXSTXX300

Contacts

Secure Messaging
dfenske330559@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,047 FAMILY PRACTICE in WI

Provider Addresses for DANIELLE M COVACH (DO)

  • 835 PARKSIDE ST

    RIPON, WI 549718335

    Phone: (920) 745-3520

    Fax: (920) 926-7932

    Mailing address matches the actual address.

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: 2018-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180926000673IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9752$0
99213Established patient office or other outpatient visit, 20-29 minutes9454$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
G0008Administration of influenza virus vaccine3333$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3030$0
View full utilization report →

Insurance plans in this area (ZIP 54971)

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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: 1658289624View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineWI
U R O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND

Reviews

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Frequently asked questions

What unique ID ties claims to DANIELLE M COVACH (DO)?
NPI 1073994018 is assigned to DANIELLE M COVACH (DO) under the national enumeration system.
Is DANIELLE M COVACH (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DANIELLE M COVACH (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DANIELLE M COVACH (DO). Clinical services aligned with this taxonomy classification.
What location shows for DANIELLE M COVACH (DO)?
We surface Ripon, Wisconsin for DANIELLE M COVACH (DO) based on available NPPES addresses.
Is DANIELLE M COVACH (DO) a real provider?
This page reflects official NPPES data for NPI 1073994018. Always confirm identity and privileges with the practice and licensing boards.

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