ANNALISE M MATHISEN (PA-C) – Physician Assistant, NPI 1497309884
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for ANNALISE M MATHISEN (PA-C)
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549115794
Phone: (920) 996-3264
Fax: (920) 830-5970
Type: Mailing
ThedaCare Regional Medical Center-Neenah, 130, 2nd Street, Neenah, Winnebago County, Wisconsin, 54956, United States
NEENAH, WI 549562883
Phone: (920) 729-3100
Type: Location
1506 S Oneida St
Appleton, WI 549151305
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
2700 W 9th Ave Ste 305
Oshkosh, WI 549047865
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
1501 S Madison St
Appleton, WI 549151846
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
500 S Oakwood Rd
Oshkosh, WI 549047944
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
1540 Lyon Dr Ste 1
Neenah, WI 549565037
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
614 Memorial Dr
Chilton, WI 530141568
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
451 E Brooklyn St Ste 1
Chilton, WI 530141595
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone:
Type: Mailing
855 N WESTHAVEN DR
OSHKOSH, WI 549047668
Phone: (920) 303-8700
Type: Location
1716 LAWRENCE DR STE 103
DE PERE, WI 541159108
Phone: (920) 632-6800
Fax: (920) 632-6806
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $974.
Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($381).
Total Amount
$974
General + Research + Ownership
Payments
9
Total payment records
General Amount
$974
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $381 |
| SPR Therapeutics, Inc | $303 |
| Abbott Laboratories | $290 |
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: 2019-09-17
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 |
|---|---|---|---|---|
| I20190917000975 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 54 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 65 | 42 | $0 |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 44 | 12 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 44 | 12 | $0 |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 43 | 15 | $0 |
Insurance plans in this area (ZIP 54911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology, Anesthesiology | ME | |
| Nurse Practitioner | WI | |
| Anesthesiology, Pain Management | WI | |
| A N E S T H E S I O L O G Y | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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