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GAIL BUCHBERGER APNP
NPI 1023137866
Nurse Practitioner - Family in Oconomowoc, WI

Active since March 29, 2007PECOS Enrolled
985 HICKORY CREEK DR, OCONOMOWOC, WI 53066(262) 391-6421(262) 354-0627 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2022, Mar 14, 2017 (2 updates tracked since 2017).

About Gail Buchberger Apnp NPPES

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

GAIL BUCHBERGER APNP (NPI 1023137866) is an individual family provider in Oconomowoc, Wisconsin, licensed in Wisconsin (2349) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023137866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGAIL BUCHBERGERCredential: APNP
Location Address985 HICKORY CREEK DROconomowoc, WI 53066-3585
Mailing Address985 Hickory Creek DrOconomowoc, WI 53066-3585 · (262) 391-6421 · Fax (262) 354-0627
Phone(262) 391-6421
Fax(262) 354-0627
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1023137866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 2349
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2349-033 (WI)
985 HICKORY CREEK DR, Oconomowoc, WI 53066
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Other Names 1

Former Name (1)Gail Hettermann Apnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Buchberger Apnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Gail Buchberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madison Bh, LLC
39 mi
Psychiatric Hospital
5401 QUARRY PARK ROAD
Madison, WI 53718
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1386498012 (608) 690-7111

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 53066 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Gail Buchberger's NPI number?

The NPI number for Gail Buchberger is 1023137866. It was assigned to this individual provider in the NPPES registry on March 29, 2007. The provider is also known as Gail Hettermann Apnp.

Where is Gail Buchberger located?

Gail Buchberger practices at 985 Hickory Creek Dr, Oconomowoc, WI 53066. The listed phone number is (262) 391-6421.

What is Gail Buchberger's specialty?

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

Is Gail Buchberger enrolled in Medicare?

Yes. Gail Buchberger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gail Buchberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Buchberger reassigns Medicare benefits to Madison Bh, LLC (Madison, 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 Gail Buchberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Buchberger accept?

Health plans from Group Health Cooperative-SCW and Security Health Plan list Gail Buchberger 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 Gail Buchberger was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.