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MRS. DEBRA A KAWULOK FNP-C
NPI 1013242502
Nurse Practitioner - Family in Sheridan, WY

Active since October 16, 2009PECOS Enrolled
94.68/100
CMS Quality Rating
304 COFFEEN AVE, STE A, SHERIDAN, WY 82801(307) 674-1744(307) 674-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Debra A Kawulok Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBRA A KAWULOK FNP-C (NPI 1013242502) is an individual family provider in Sheridan, Wyoming, licensed in Wyoming (11988.1019) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013242502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEBRA A KAWULOKCredential: FNP-C
Location Address304 COFFEEN AVE, STE ASheridan, WY 82801-4803
Mailing Address304 Coffeen Ave, Ste ASheridan, WY 82801-4803 · (307) 674-1744 · Fax (307) 674-1752
Phone(307) 674-1744
Fax(307) 674-1752
Sole ProprietorYes
Enumeration DateOctober 16, 2009
Last NPPES UpdateApril 7, 2016
✔ NPI 1013242502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 11988.1019
304 COFFEEN AVE, Sheridan, WY 82801
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Debra Ann Radden

Other Identifiers 1

Medicare PINW23011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Debra A Kawulok Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
297 services170 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
288 services288 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost82.28

Reported Quality Measures

Breast Cancer Screening
99%294 patients5/55-star benchmark: 93%
Cervical Cancer Screening
52%233 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
74%528 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
70%351 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%114 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,420 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%382 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%830 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
69%613 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 716 patients
Patients screened: 94% · 716 patients
11%92 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 405 patients
Patients totalRate: 0% · 405 patients
0%405 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers43 claims89 services$5.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims15 services$0.87 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers18 claims18 services$46.20 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers17 claims34 services$1.31 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier12 claims24 services$0.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers20 claims20 services$109.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOSE CREEK FAMILY PRACTICE, P.C.
Clinic/Center
304 COFFEEN AVE, SUITE A
SHERIDAN, WY 82801
Sheridan County (307) 674-1744

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 Debra Kawulok's NPI number?

The NPI number for Debra Kawulok is 1013242502. It was assigned to this individual provider in the NPPES registry on October 16, 2009. The provider is also known as Ms. Debra Ann Radden.

Where is Debra Kawulok located?

Debra Kawulok practices at 304 Coffeen Ave Ste A, Sheridan, WY 82801. The listed phone number is (307) 674-1744.

What is Debra Kawulok's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Debra Kawulok enrolled in Medicare?

Yes. Debra Kawulok is registered in the Medicare PECOS enrollment system.

What insurance does Debra Kawulok accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Debra Kawulok 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 Debra Kawulok was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.