DR. ANNA MARIA MYKLEBUST (MD) – Diagnostic Radiology Physician, NPI 1114956232
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
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Provider Addresses for DR. ANNA MARIA MYKLEBUST (MD)
Ripley Road, Cambridge, Somerset County, Maine, 04923, United States
P.O. 629
CAMBRIDGE, WI 535239011
Phone: (608) 423-7400
Fax: (608) 423-7400
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: 2006-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060505000926 | I | Diagnostic Radiology | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53523)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | WI | 73562 | X-ray of knee, 3 views | 14 | 12 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | NE | |
| General Surgery | WI | |
| Family Practice | IA | |
| Family Practice | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Diagnostic Radiology | IL |
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