ANDRE KRAINIK MD
NPI 1003848698
Pediatrics in Appleton, WI
About Andre Krainik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE KRAINIK MD (NPI 1003848698) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (48114-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andre Krainik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andre Krainik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andre Krainik's NPI number?
The NPI number for Andre Krainik is 1003848698. It was assigned to this individual provider in the NPPES registry on July 6, 2006.
Where is Andre Krainik located?
Andre Krainik practices at 2701 E Enterprise Ave, Appleton, WI 54913. The listed phone number is (920) 954-2551.
What is Andre Krainik's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Andre Krainik enrolled in Medicare?
Yes. Andre Krainik is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andre Krainik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andre Krainik reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Krainik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andre Krainik accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Andre Krainik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andre Krainik was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.