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AGNIESZKA DENDURA
NPI 1164057717
Nurse Practitioner in Tomah, WI

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
501 GOPHER DR, TOMAH, WI 54660(608) 371-2181 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Mar 4, 2020 (2 updates tracked since 2020).

About Agnieszka Dendura NPPES

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

AGNIESZKA DENDURA (NPI 1164057717) is an individual nurse practitioner in Tomah, Wisconsin, licensed in Wisconsin (9811-33) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164057717
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAGNIESZKA DENDURA
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address501 Gopher DrTomah, WI 54660-4513
Phone(608) 371-2181
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1164057717 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 · 9811-33
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.
501 GOPHER DR, Tomah, WI 54660
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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, Medica 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

Agnieszka Dendura 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 ID7911336995
PECOS Enrollment IDI20200327000447
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.

Hospital Affiliations CMS Care Compare

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

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

ALEXANDER MORGAN OTR/L
Occupational Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8354
KIMBERLY ANN TOZER CRNA
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
CAITLIN ANNE CALIRI DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8368
MARY MACKENZIE LANE-PEOT DNP
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
DR. DYLANA PAIGE SCHREINER PT, DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8740
TOMAH MEMORIAL HOSPITAL INC
Non-Pharmacy Dispensing Site
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
PAYTON MARIE DEMEYER SLP
Speech-Language Pathologist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8372
TOMAH MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181

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 Agnieszka Dendura's NPI number?

The NPI number for Agnieszka Dendura is 1164057717. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Agnieszka Dendura located?

Agnieszka Dendura practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 371-2181.

What is Agnieszka Dendura's specialty?

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

Is Agnieszka Dendura enrolled in Medicare?

Yes. Agnieszka Dendura 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 Agnieszka Dendura accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica, Quartz and Security Health Plan list Agnieszka Dendura 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 Agnieszka Dendura affiliated with any hospitals?

According to CMS data, Agnieszka Dendura is affiliated with Mile Bluff Medical Center.

When was this NPI record last updated?

The NPPES record for Agnieszka Dendura was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.