AGNIESZKA DENDURA
NPI 1164057717
Nurse Practitioner in Tomah, WI
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Agnieszka Dendura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- 249 clinicians in this Medicare group
Mauston, WI 53948
- Reassigned Medicare billing, Wisconsin enrollment
- 189 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.
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, WIPhysician 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.
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.
TOMAH, WI 54660
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.
Which organizations bill Medicare for Agnieszka Dendura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnieszka Dendura reassigns Medicare benefits to 2 organizations: Tomah Memorial Hospital Inc (Tomah, WI) and Mile Bluff Medical Center Inc (Mauston, WI). 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 Agnieszka Dendura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Agnieszka Dendura accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, 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.
# Agnieszka Dendura · NPI 1164057717
Nurse Practitioner physician in Tomah, Wisconsin. Individual provider, active in the CMS NPPES registry since March 4, 2020.
## Identity
- **NPI:** 1164057717 (Entity type: Individual)
- **Enumerated:** March 4, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9811-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 GOPHER DR, Tomah, WI 54660-4513
- **Phone:** (608) 371-2181
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Tomah Memorial Hospital Inc (NPI 1992970453, Tomah, WI); Mile Bluff Medical Center Inc (NPI 1881930527, Mauston, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164057717) · Data from the CMS NPPES public registry.