ANDREA L POLLPETER (APNP) – Nurse Practitioner, NPI 1619416518

ANDREA L POLLPETER (APNP) is a healthcare provider. based in Sussex, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 7536 (WI). The NPI Number for ANDREA L POLLPETER (APNP) is 1619416518

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA L POLLPETER (APNP)
NPI
1619416518
Phone
(262) 820-3093
Address
N57W24950 N CORPORATE CIR
Enumeration Date
13 February 2017
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2628203093
Graduation Year
2016 (10 years ago)
PAC ID
7012292659
Group Practice PAC ID
3476465188
Professional Enrollment ID
I20170323000425
Address ID
WI53188XXXXWAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,066 NURSE PRACTITIONER in WI

Provider Addresses for ANDREA L POLLPETER (APNP)

  • N57W24950 N CORPORATE CIR

    SUSSEX, WI 530894383

    Phone: (262) 820-3093

    Type: Mailing

  • 240 MAPLE AVE

    MUKWONAGO, WI 531498475

    Phone: (262) 928-1900

    Type: Mailing

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: 2017-03-23

PECOS data refreshed: 2026-06-15

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
I20170323000425INurse PractitionerWITBD

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 minutes146132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5151$0
99215Established patient office or other outpatient visit, 40-54 minutes4135$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
View full utilization report →

Insurance plans in this area (ZIP 53089)

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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: 3476465188View full group profile
NameSpecialtyState
-WI
-WI
Radiation OncologyWI
Clinical PsychologistWI
Cardiovascular Disease (Cardiology), Internal MedicineNY
Nurse PractitionerWI
-WI
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI

Reviews

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Frequently asked questions

How is ANDREA L POLLPETER (APNP) identified in CMS data?
CMS-hosted NPPES data lists ANDREA L POLLPETER (APNP) with NPI 1619416518.
Does the file indicate ANDREA L POLLPETER (APNP) is practicing under active NPI?
Directory data currently reports ANDREA L POLLPETER (APNP) as active.
What is ANDREA L POLLPETER (APNP)'s primary classification?
Nurse Practitioner is the headline specialty for ANDREA L POLLPETER (APNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREA L POLLPETER (APNP) on a map?
Expect Sussex, Wisconsin as a primary anchor for ANDREA L POLLPETER (APNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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