JOELLEN E FRAWLEY APNP
NPI 1184625816
Nurse Practitioner in Prairie Du Sac, WI

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
260 26TH ST, PRAIRIE DU SAC, WI 53578(608) 643-3311(608) 643-8600 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joellen E Frawley Apnp NPPES

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

JOELLEN E FRAWLEY APNP (NPI 1184625816) is an individual nurse practitioner in Prairie Du Sac, Wisconsin, licensed in Wisconsin (2560) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Sauk Prairie Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184625816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOELLEN E FRAWLEYCredential: APNP
Location Address260 26TH STPrairie Du Sac, WI 53578-2203
Mailing Address80 1st StPrairie Du Sac, WI 53578-1550 · (608) 643-3311 · Fax (608) 643-8600
Fax(608) 643-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 3, 2005
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1184625816 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 · 2560
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.

260 26TH ST, Prairie Du Sac, WI 53578

Other Identifiers 1

Medicaid41261200WI

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

Joellen E Frawley Apnp 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 ID9032150560
PECOS Enrollment IDI20050516000340
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
153 services86 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
90 services40 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
74 services37 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
63 services46 patients
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.
17 services14 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53578 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers16 claims202 services$19.01 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers16 claims555 services$2.41 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers203 claims536 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers50 claims52 services$0.99 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers12 claims640 services$7.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers336 claims342 services$182.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
260 26TH ST
PRAIRIE DU SAC, WI 53578
Physician Assistant
260 26TH ST
PRAIRIE DU SAC, WI 53578
Nurse Practitioner
260 26TH ST
PRAIRIE DU SAC, WI 53578
Orthopaedic Surgery
260 26TH ST
PRAIRIE DU SAC, WI 53578
Counselor (Professional)
260 26TH ST
PRAIRIE DU SAC, WI 53578
Pharmacist
260 26TH ST
PRAIRIE DU SAC, WI 53578
General Acute Care Hospital
260 26TH ST
PRAIRIE DU SAC, WI 53578
Physician Assistant
260 26TH ST
PRAIRIE DU SAC, WI 53578

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 Joellen Frawley's NPI number?

The NPI number for Joellen Frawley is 1184625816. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Joellen Frawley located?

Joellen Frawley practices at 260 26th St, Prairie Du Sac, WI 53578. The listed phone number is (608) 643-3311.

What is Joellen Frawley's specialty?

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

Is Joellen Frawley enrolled in Medicare?

Yes. Joellen Frawley 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 Joellen Frawley accept?

Health plans from Group Health Cooperative-SCW list Joellen Frawley 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 Joellen Frawley affiliated with any hospitals?

According to CMS data, Joellen Frawley is affiliated with Sauk Prairie Hospital.

When was this NPI record last updated?

The NPPES record for Joellen Frawley was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.