MADELENE G. HAMANN N.P.
NPI 1023485059
Nurse Practitioner in Beloit, WI

Active since August 25, 2015PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2240(608) 363-7374 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madelene G. Hamann N.p. NPPES

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

MADELENE G. HAMANN N.P. (NPI 1023485059) is an individual nurse practitioner in Beloit, Wisconsin, licensed in Wisconsin (6622-33) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023485059
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELENE G. HAMANNCredential: N.P.
Location Address1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing Address1905 E Huebbe Pkwy, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2240 · Fax (608) 363-7374
Fax(608) 363-7374
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 25, 2015
Last NPPES UpdateSeptember 2, 2015
NPI 1023485059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 6622-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1905 E HUEBBE PKWY, Beloit, WI 53511

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madelene G. Hamann N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456668649
PECOS Enrollment IDI20150921002561
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services66 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.
62 services62 patients
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.
54 services43 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers16 claims51 services$6.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 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 20

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

Physical Therapy Assistant
1905 E HUEBBE PKWY
BELOIT, WI 53511
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Nurse Practitioner
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Nurse Practitioner (Family)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Internal Medicine (Gastroenterology)
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Physician Assistant (Medical)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Audiologist
1905 E HUEBBE PKWY, BELOIT CLINIC
BELOIT, WI 53511

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 Madelene Hamann's NPI number?

The NPI number for Madelene Hamann is 1023485059. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Madelene Hamann located?

Madelene Hamann practices at 1905 E Huebbe Pkwy 1905 E. Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2240.

What is Madelene Hamann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madelene Hamann enrolled in Medicare?

Yes. Madelene Hamann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Madelene Hamann accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Madelene Hamann 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.

Is Madelene Hamann affiliated with any hospitals?

According to CMS data, Madelene Hamann is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Madelene Hamann was last updated on September 2, 2015. 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.