WENDY ANN NUNES M.D.
NPI 1003012113
Urology in Saint Croix Falls, WI

NPI Status: Active since June 25, 2007

Contact Information

235 STATE ST
SAINT CROIX FALLS, WI
ZIP 54024
Phone: (715) 483-3221
Fax: (715) 483-0507

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  • Individual
  • Female
  • Years of Experience 23
  • Urology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About WENDY NUNES

Wendy Nunes is a provider established in Saint Croix Falls, Wisconsin and her medical specialization is Urology with more than 23 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1003012113 assigned on June 2007. The practitioner's primary taxonomy code is 208800000X with license number 50368 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1003012113
Provider Name
WENDY ANN NUNES M.D.
Other Name
WENDY ANN DAVIS M.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
235 STATE ST SAINT CROIX FALLS, WI 54024
Location Phone
(715) 483-3221
Location Fax
(715) 483-0507
Mailing Address
235 STATE ST SAINT CROIX FALLS, WI 54024
Mailing Phone
(715) 483-3221
Mailing Fax
(715) 483-0507
Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
06-25-2007
Last Update Date
02-02-2021
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Wendy Nunes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.03 for a new patient copayment and $17.49 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
50368
License State
WI
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

PECOS Enrollment and Medicare Participation Status

Wendy Nunes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779683818

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070703000220

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54024 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $128.12
  • Minimum New Patient Price $55.63
  • Maximum New Patient Price $169.16
  • Average New Patient Copayment $32.03
  • Minimum New Patient Copayment $13.9
  • Maximum New Patient Copayment $42.29

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.98
  • Minimum Established Patient Price $17.46
  • Maximum Established Patient Price $138.8
  • Average Established Patient Copayment $17.49
  • Minimum Established Patient Copayment $4.36
  • Maximum Established Patient Copayment $34.7

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Wendy Nunes is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST CROIX REGIONAL MEDICAL CTR235 E STATE STREET
SAINT CROIX FALLS, WI 54024
(715) 483-0556Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012113
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 1 + 2 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003012113 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689758237 JEANINE L BRUNCLIK M.D.
Individual
Family Medicine235 STATE ST
SAINT CROIX FALLS, WI 54024
(715) 483-3221
1053445411 CLAUDIO F. NUNES M.D.
Individual
Surgery235 STATE ST
SAINT CROIX FALLS, WI 54024
(715) 483-3221
1043240922ST. CROIX REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)235 STATE ST
SAINT CROIX FALLS, WI 54024
(715) 483-3221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012113, enumerated in the NPI registry as an "individual" on June 25, 2007

The provider is located at 235 State St Saint Croix Falls, Wi 54024 and the phone number is (715) 483-3221

The provider's speciality is Urology with taxonomy code 208800000X

The provider has more than 23 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 2001.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $128.12 with an average copayment of $32.03 for new patient appointments. Established patients should expect a typical charge of $69.98 and an average copayment of 17.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ST CROIX REGIONAL MEDICAL CTR. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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