HEATHER MARIE NENNIG (MD) – Family Medicine Physician, NPI 1174902209

HEATHER MARIE NENNIG (MD) is a healthcare provider. based in Keshena, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 71199-20 (WI). The NPI Number for HEATHER MARIE NENNIG (MD) is 1174902209

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MARIE NENNIG (MD)
NPI
1174902209
Phone
(715) 799-3361
Address
PO BOX 970
Enumeration Date
21 May 2015
Last Update Date
13 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
7157993361
Graduation Year
2015 (11 years ago)
PAC ID
6800158775
Group Practice PAC ID
2668459264
Professional Enrollment ID
I20191008002454
Address ID
WI541359202KEW3275DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for HEATHER MARIE NENNIG (MD)

  • PO BOX 970

    KESHENA, WI 541350970

    Phone: (715) 799-3361

    Fax: (715) 799-1326

    Type: Mailing

  • W3275 WOLF RIVER DR

    KESHENA, WI 54135

    Phone: (715) 799-3361

    Fax: (715) 799-3099

    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: 2019-10-08

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
I20191008002454IFamily 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 minutes6038$0
83036Hemoglobin a1c level4830$0
80048Blood test, basic group of blood chemicals (calcium, total)3527$0
99213Established patient office or other outpatient visit, 20-29 minutes3327$0
80061Blood test, lipids (cholesterol and triglycerides)3130$0
View full utilization report →

Insurance plans in this area (ZIP 54135)

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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: 2668459264View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Family PracticeWI
-WI
P S Y C H I A T R YWI
Family PracticeWI
Nurse PractitionerWI
Family Practice, Osteopathic Manipulative MedicineWI
O P T O M E T R YWI
Family PracticeWI
P O D I A T R YWI

Reviews

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Frequently asked questions

What is HEATHER MARIE NENNIG (MD)'s NPI number?
HEATHER MARIE NENNIG (MD)'s NPI is 1174902209 — the number used across U.S. healthcare to identify this provider.
Would HEATHER MARIE NENNIG (MD) appear as active to a payer?
You can treat HEATHER MARIE NENNIG (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HEATHER MARIE NENNIG (MD)?
HEATHER MARIE NENNIG (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is HEATHER MARIE NENNIG (MD) located near Keshena?
HEATHER MARIE NENNIG (MD) currently maps to Keshena, Wisconsin in this extract.
Can I trust this NPI listing for HEATHER MARIE NENNIG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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