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ANNEMARIE UPHUS APNP, PMHNP-BC, CNM
NPI 1033362066
Nurse Practitioner in Appleton, WI

Active since November 04, 2008PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
1531 S MADISON ST, APPLETON, WI 54915(920) 730-4411 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2021, Jan 10, 2020 (2 updates tracked since 2020).

About Annemarie Uphus Apnp, Pmhnp-bc, Cnm NPPES

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

ANNEMARIE UPHUS APNP, PMHNP-BC, CNM (NPI 1033362066) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (6092-33) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033362066
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNEMARIE UPHUSCredential: APNP, PMHNP-BC, CNM
Location Address1531 S MADISON STAppleton, WI 54915-1800
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 730-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 4, 2008
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1033362066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 6092-33
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 6092 (WI)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 148901-32 (WI)
1531 S MADISON ST, Appleton, WI 54915
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Other Names 1

Former Name (1)Annemarie Schiereck Cnm

Other Identifiers 2

Other12792American Midwifery Certification
Medicaid1033362066WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health.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

Annemarie Uphus Apnp, Pmhnp-bc, Cnm 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 ID3870723745
PECOS Enrollment IDI20210728004044
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 2

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.
66 services27 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

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.

KAILIE BECK ANPN, FNP-C
Nurse Practitioner (Family)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 738-2000
MS. MICHELLE KENNEDY COENEN MS
Social Worker (Clinical)
1531 S MADISON ST, STE 550
APPLETON, WI 54915
Calumet County (920) 738-2700
DEBRA L. FRANCIOSI APNP
Nurse Practitioner (Psychiatric/Mental Health)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
JENNIFER L CASTRO SAC
Counselor (Addiction (Substance Use Disorder))
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 831-8437
THOMAS G HOEFT D.O.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700
CHRISTOPHER W WAGENER MD
Obstetrics & Gynecology
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4413
DR. LEE W HASH M.D.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700
DR. ALEJANDRO GARCIA M.D.
Family Medicine (Sports Medicine)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700

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 Annemarie Uphus's NPI number?

The NPI number for Annemarie Uphus is 1033362066. It was assigned to this individual provider in the NPPES registry on November 4, 2008. The provider is also known as Annemarie Schiereck Cnm.

Where is Annemarie Uphus located?

Annemarie Uphus practices at 1531 S Madison St, Appleton, WI 54915. The listed phone number is (920) 730-4411.

What is Annemarie Uphus's specialty?

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

Is Annemarie Uphus enrolled in Medicare?

Yes. Annemarie Uphus 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 Annemarie Uphus accept?

Health plans from Medica and Network Health list Annemarie Uphus 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 Annemarie Uphus was last updated on November 16, 2021. 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.