CAROL M NESS A.P.N.P.
NPI 1114257250
Nurse Practitioner in Eau Claire, WI

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2021, Jun 9, 2021, Nov 9, 2017 (3 updates tracked since 2017).

About Carol M Ness A.p.n.p. NPPES

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

CAROL M NESS A.P.N.P. (NPI 1114257250) is an individual nurse practitioner in Eau Claire, Wisconsin, licensed in Wisconsin (3916-33) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114257250
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL M NESSCredential: A.P.N.P.
Location Address1400 BELLINGER STEau Claire, WI 54703-5222
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
NPI 1114257250 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 · 3916-33
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.

1400 BELLINGER ST, Eau Claire, WI 54703

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

Carol M Ness A.p.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 ID5597946210
PECOS Enrollment IDI20110228000790
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
337 services189 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
56 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
54 services43 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Oakridge

Critical Access Hospitals · Osseo, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521302
Location13025 8th StOsseo, WI 54758 · Trempealeau County
Emergency services

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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.

Social Worker (Clinical)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Internal Medicine (Pulmonary Disease)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Surgery
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Pathology (Anatomic Pathology & Clinical Pathology)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Radiology (Diagnostic Radiology)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Urology
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Orthopaedic Surgery
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Physical Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114257250, enumerated as an "individual" on January 13, 2010.

The provider is located at 1400 BELLINGER ST EAU CLAIRE, WI 54703 and the phone number is (715) 838-5222.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica and. Please consult your insurance carrier or call the provider to verify.

Carol Ness is affiliated with: MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL, MAYO CLINIC HEALTH SYSTEM OAKRIDGE, MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY and MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC.