CRAIG DANIEL DESTREE
NPI 1154732063
Internal Medicine in Appleton, WI
About Craig Daniel Destree NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG DANIEL DESTREE (NPI 1154732063) is an individual internal medicine provider in Appleton, Wisconsin, licensed in Wisconsin (64357) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and maintains a secondary practice location in La Crosse.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Craig Daniel Destree 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.
Medicare Billing Reassignments
9Medicare enrollment records show Craig Destree reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 56 clinicians in this Medicare group
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Fox Point, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Stanley, WI 54768
- Reassigned Medicare billing, Wisconsin enrollment
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Divine Savior Healthcare
Acute Care Hospitals · Portage, WIThedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center - New London
Critical Access Hospitals · New London, WIBerlin Memorial Hospital
Critical Access Hospitals · Berlin, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
APPLETON, WI 54911
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 Craig Destree's NPI number?
The NPI number for Craig Destree is 1154732063. It was assigned to this individual provider in the NPPES registry on May 13, 2014.
Where is Craig Destree located?
Craig Destree practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 735-7645.
What is Craig Destree's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Craig Destree enrolled in Medicare?
Yes. Craig Destree 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.
Which organizations bill Medicare for Craig Destree's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Destree reassigns Medicare benefits to 9 organizations: Thedacare, Incorporated (Menasha, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Gundersen Clinic, Ltd. (Prairie Du Chien, WI), Aspirus Wausau Hospital Inc (Wittenberg, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Destree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Craig Destree accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Craig Destree 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 Craig Destree affiliated with any hospitals?
According to CMS data, Craig Destree is affiliated with Divine Savior Healthcare, Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London and Berlin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Craig Destree was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Craig Daniel Destree · NPI 1154732063
Internal Medicine physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since May 13, 2014.
## Identity
- **NPI:** 1154732063 (Entity type: Individual)
- **Enumerated:** May 13, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 64357 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 N MEADE ST, Appleton, WI 54911-3454
- **Phone:** (920) 735-7645 · **Fax:** (920) 735-7618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1306959515, Menasha, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Gundersen Clinic, Ltd. (NPI 1023064078, Prairie Du Chien, WI); Aspirus Wausau Hospital Inc (NPI 1467782821, Wittenberg, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154732063) · Data from the CMS NPPES public registry.