SHERYL ANN MULDER (ARNP MSN FNPC) – Nurse Practitioner, NPI 1962497438

SHERYL ANN MULDER (ARNP MSN FNPC) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP MSN FNPC. They hold a License No. 074290 (IA). The NPI Number for SHERYL ANN MULDER (ARNP MSN FNPC) is 1962497438

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SHERYL ANN MULDER (ARNP MSN FNPC)
NPI
1962497438
Phone
(920) 663-7190
Address
801 YORK ST
Enumeration Date
12 September 2005
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6416833195
Graduation Year
1998 (28 years ago)
PAC ID
7315922036
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20040618000576
Address ID
IA525016414OT1005XAVEX304

Contacts

Secure Messaging
SM3395@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for SHERYL ANN MULDER (ARNP MSN FNPC)

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-7190

    Fax: (920) 684-1439

    Type: Mailing

  • Ottumwa Medical Clinic, 1005, Pennsylvania Avenue, Ottumwa, Wapello County, Iowa, 52501, United States

    SUITE 210

    OTTUMWA, IA 525016413

    Phone: (641) 683-3195

    Fax: (641) 683-3197

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $2,774.

Total Amount is formed as General ($2,774) + Research ($0) + Ownership ($0) = $2,774.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($474).

Total Amount

$2,774

General + Research + Ownership

Payments

99

Total payment records

General Amount

$2,774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-18

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
I20040618000576INurse PractitionerIATBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg10,20043$0
99213Established patient office or other outpatient visit, 20-29 minutes952757$0
17003Destruction of precancer skin growth, 2-14 growths555150$0
17110Destruction of skin growth, 1-14 growths501409$0
17000Destruction of precancer skin growth, 1 growth304250$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

How do I look up SHERYL ANN MULDER (ARNP MSN FNPC) by NPI?
Use NPI 1962497438 when you need to reference SHERYL ANN MULDER (ARNP MSN FNPC) in forms, claims, or directories.
Is SHERYL ANN MULDER (ARNP MSN FNPC) active in the national directory?
SHERYL ANN MULDER (ARNP MSN FNPC)'s public NPI profile is in an active state.
Does SHERYL ANN MULDER (ARNP MSN FNPC) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for SHERYL ANN MULDER (ARNP MSN FNPC). Clinical services aligned with this taxonomy classification.
What location shows for SHERYL ANN MULDER (ARNP MSN FNPC)?
We surface Manitowoc, Wisconsin for SHERYL ANN MULDER (ARNP MSN FNPC) based on available NPPES addresses.
How can I contact SHERYL ANN MULDER (ARNP MSN FNPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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