MS. JILL KOCH WANGGAARD (NP) – Nurse Practitioner, NPI 1396734034
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for MS. JILL KOCH WANGGAARD (NP)
3805, Spring Street, Mount Pleasant, Wisconsin, 53405, United States
RACINE, WI 534051641
Phone: (262) 687-4479
Type: Location
3345, Patzke Lane, Caledonia, Racine County, Wisconsin, 53405, United States
RACINE, WI 534051279
Phone: (262) 633-1064
Type: Mailing
3805B Spring St
Racine, WI 534051641
Phone: (262) 687-4479
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (262) 884-4088
Fax: (262) 884-4078
Type: Mailing
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 534063735
Phone: (262) 884-4088
Fax: (262) 884-4078
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: 2011-01-24
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 |
|---|---|---|---|---|
| I20110124001179 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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