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PAMELA MACWILLIAMS NP
NPI 1093999500
Nurse Practitioner in Neenah, WI

Active since December 19, 2007PECOS EnrolledAccepts Medicare Assignment
130 2ND ST STE 197, NEENAH, WI 54956(920) 729-2030 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, Apr 15, 2021 (2 updates tracked since 2021).

About Pamela Macwilliams Np NPPES

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

PAMELA MACWILLIAMS NP (NPI 1093999500) is an individual nurse practitioner in Neenah, Wisconsin, licensed in Wisconsin (3325) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1093999500
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAMELA MACWILLIAMSCredential: NP
Location Address130 2ND ST STE 197Neenah, WI 54956-2883
Mailing Address3 Neenah CtrNeenah, WI 54956-3070
Phone(920) 729-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 19, 2007
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1093999500 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 · 3325
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.
130 2ND ST STE 197, Neenah, WI 54956
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Other Identifiers 1

Other2007009217WI · Ancc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Pamela Macwilliams 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 ID6103903026
PECOS Enrollment IDI20080402000669
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 5

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.
37 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 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.
23 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520034
Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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 Pamela Macwilliams's NPI number?

The NPI number for Pamela Macwilliams is 1093999500. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Pamela Macwilliams located?

Pamela Macwilliams practices at 130 2nd St Ste 197, Neenah, WI 54956. The listed phone number is (920) 729-2030.

What is Pamela Macwilliams's specialty?

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

Is Pamela Macwilliams enrolled in Medicare?

Yes. Pamela Macwilliams 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 Pamela Macwilliams accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Pamela Macwilliams 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 Pamela Macwilliams affiliated with any hospitals?

According to CMS data, Pamela Macwilliams is affiliated with Aurora Medical Ctr Manitowoc County and Bay Area Medical Center.

When was this NPI record last updated?

The NPPES record for Pamela Macwilliams was last updated on May 25, 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.