COLLEEN MARX (N.P.) – Emergency Medicine Physician, NPI 1891808242
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for COLLEEN MARX (N.P.)
Holy Family Memorial Medical Center, 2300, Western Avenue, Manitowoc, Manitowoc County, Wisconsin, 54221-1450, United States
MANITOWOC, WI 542203712
Phone: (920) 320-2011
Type: Location
Manitowoc Post Office, South 12th Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542212290
Phone: (920) 320-3097
Fax: (920) 320-3529
Type: Mailing
800 LAKEFRONT WAY
TWO RIVERS, WI 542413301
Phone: (920) 320-2436
Fax: (920) 320-5187
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: 2003-11-26
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 |
|---|---|---|---|---|
| I20031126000618 | 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 | 169 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 80 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 66 | 66 | $0 |
| G0008 | Administration of influenza virus vaccine | 36 | 36 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 33 | 33 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Emergency Medicine | FL | |
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | IN | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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