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TAWNI NICOLE KOBIELAK DNP
NPI 1215466396
Nurse Practitioner - Family in De Pere, WI

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2017, Jun 12, 2017 (2 updates tracked since 2017).

About Tawni Nicole Kobielak Dnp NPPES

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

TAWNI NICOLE KOBIELAK DNP (NPI 1215466396) is an individual family provider in De Pere, Wisconsin, licensed in Wisconsin (7752) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215466396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAWNI NICOLE KOBIELAKCredential: DNP
Location Address3860 MONROE RDDe Pere, WI 54115-8399
Mailing Address1807 Ridgeway Dr Unit 37De Pere, WI 54115-4123 · (608) 558-9279
Phone(920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateJuly 24, 20172 updates tracked since enumeration
✔ NPI 1215466396 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 WI · 7752
Also ListedRegistered NurseTaxonomy 163W00000X · License 18979630 (WI)
3860 MONROE RD, De Pere, WI 54115
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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, Network Health, Security Health Plan.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

Tawni Nicole Kobielak Dnp 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 ID4981975166
PECOS Enrollment IDI20170807001118
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 3

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.

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.
76 services59 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.
70 services61 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.
50 services45 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$22.42 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.

CASSANDRA VANSTRATEN LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ROSALYN H HAASE RD CD
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DANIELLE CASPER
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MARIE D. IBARRA STAFFORD LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DR. JOSHUA VINCENT EGLE PT, DPT
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MR. DAN J BRAATEN LMFT, SAC
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
STEPHANIE PREVOST M.S.
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ALEKSANDRA BABIARZ MD
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700

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 Tawni Kobielak's NPI number?

The NPI number for Tawni Kobielak is 1215466396. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Tawni Kobielak located?

Tawni Kobielak practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Tawni Kobielak's specialty?

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

Is Tawni Kobielak enrolled in Medicare?

Yes. Tawni Kobielak 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 Tawni Kobielak accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Tawni Kobielak 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 Tawni Kobielak affiliated with any hospitals?

According to CMS data, Tawni Kobielak is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tawni Kobielak was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.