CORINNE MONIQUE HERTSEL
NPI 1164064119
Nurse Practitioner - Family in Syracuse, IN

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
107 W PICKWICK DR STE A, SYRACUSE, IN 46567(574) 457-8585(260) 479-2913 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corinne Monique Hertsel NPPES

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

CORINNE MONIQUE HERTSEL (NPI 1164064119) is an individual family provider in Syracuse, Indiana, licensed in Indiana (71009435A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164064119
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORINNE MONIQUE HERTSEL
Location Address107 W PICKWICK DR STE ASyracuse, IN 46567-1832
Mailing Address107 W Pickwick Dr Ste ASyracuse, IN 46567-1832 · (574) 457-8585 · Fax (260) 479-2913
Fax(260) 479-2913
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
NPI 1164064119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71009435A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28173822A (IN)
107 W PICKWICK DR STE A, Syracuse, IN 46567

Other Names 1

Former Name (1)Corinne Monique Shields

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

Corinne Monique Hertsel 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 ID5193157766
PECOS Enrollment IDI20191120000801
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 6

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.
94 services67 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.
83 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46567 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
107 W PICKWICK DR STE A
SYRACUSE, IN 46567

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 Corinne Hertsel's NPI number?

The NPI number for Corinne Hertsel is 1164064119. It was assigned to this individual provider in the NPPES registry on October 10, 2019. The provider is also known as Corinne Monique Shields.

Where is Corinne Hertsel located?

Corinne Hertsel practices at 107 W Pickwick Dr Ste A, Syracuse, IN 46567. The listed phone number is (574) 457-8585.

What is Corinne Hertsel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Corinne Hertsel enrolled in Medicare?

Yes. Corinne Hertsel 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 Corinne Hertsel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Corinne Hertsel 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 Corinne Hertsel affiliated with any hospitals?

According to CMS data, Corinne Hertsel is affiliated with Elkhart General Hospital and Kosciusko Community Hospital.

When was this NPI record last updated?

The NPPES record for Corinne Hertsel was last updated on October 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.