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CYNTHIA L PHILPOTT NP
NPI 1053880690
Nurse Practitioner in Beloit, WI

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2400(608) 363-7389 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2019, Nov 13, 2018 (2 updates tracked since 2018).

About Cynthia L Philpott Np NPPES

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

CYNTHIA L PHILPOTT NP (NPI 1053880690) is an individual nurse practitioner in Beloit, Wisconsin, licensed in Wisconsin (9254-33) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053880690
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCYNTHIA L PHILPOTTCredential: NP
Location AddressBELOIT CLINIC, 1905 E. HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing AddressBeloit Clinic, 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395
Phone(608) 364-2400
Fax(608) 363-7389
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2018
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
✔ NPI 1053880690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WI · 9254-33✔ Licensed in IL · 209-018420
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 · FamilyTaxonomy 363LF0000X · License 209.018420 (IL), 9254-33 (WI), 209-018420 (IL)
BELOIT CLINIC, Beloit, WI 53511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Cynthia L Philpott Np 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 ID1456684729
PECOS Enrollment IDI20190603000008
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 8

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
419 services221 patients
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.
282 services174 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.
226 services144 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
69 services43 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
35 services33 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.

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.

JENNIFER S. CHO-ESCALANTE DO
Family Medicine
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2240
ROBERT JOHN DERBY NP
Nurse Practitioner
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-1640
KRISTIN K. LIETZAU PA
Physician Assistant
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2230
DR. LEE ALAN MCFADDEN M.D.
Orthopaedic Surgery
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2230
DR. ROBERT R HARRIS M.D.
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2220
DR. CYNTHIA L. PALABRICA M.D.
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2200
DR. ZACHARY ADAM ZIMMERMAN M.D.
Otolaryngology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2400
GRETCHEN R WITOWICH MS, RD, LDN
Dietitian, Registered
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2400

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 Cynthia Philpott's NPI number?

The NPI number for Cynthia Philpott is 1053880690. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Cynthia Philpott located?

Cynthia Philpott practices at Beloit Clinic 1905 E. Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2400.

What is Cynthia Philpott's specialty?

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

Is Cynthia Philpott enrolled in Medicare?

Yes. Cynthia Philpott 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 Cynthia Philpott accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Cynthia Philpott 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 Cynthia Philpott affiliated with any hospitals?

According to CMS data, Cynthia Philpott is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Cynthia Philpott was last updated on May 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.