MARY LYNN VAN VONDEREN APRN, CNP
NPI 1225280050
Nurse Practitioner in Chippewa Falls, WI

Active since October 10, 2008PECOS EnrolledAccepts Medicare Assignment
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2023, Jul 22, 2021, Jun 11, 2020 and 1 more (4 updates tracked since 2017).

About Mary Lynn Van Vonderen Aprn, Cnp NPPES

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

MARY LYNN VAN VONDEREN APRN, CNP (NPI 1225280050) is an individual nurse practitioner in Chippewa Falls, Wisconsin, licensed in Wisconsin (3519-33) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225280050
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY LYNN VAN VONDERENCredential: APRN, CNP
Location Address2509 COUNTY HIGHWAY IChippewa Falls, WI 54729-2785
Mailing Address2509 County Highway IChippewa Falls, WI 54729-2785 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 10, 2008
Last NPPES UpdateMarch 14, 20234 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1225280050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WI · 3519-33 Licensed in WI · 141854
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.
2509 COUNTY HIGHWAY I, Chippewa Falls, WI 54729

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

Mary Lynn Van Vonderen Aprn, Cnp 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 ID7214097294
PECOS Enrollment IDI20081120000507
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54729 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.

Physical Therapist
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Speech-Language Pathologist
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Dietitian, Registered
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Dietitian, Registered
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Physical Therapist
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Speech-Language Pathologist
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Physical Therapist
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Nurse Practitioner (Family)
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729

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 Mary Van Vonderen's NPI number?

The NPI number for Mary Van Vonderen is 1225280050. It was assigned to this individual provider in the NPPES registry on October 10, 2008.

Where is Mary Van Vonderen located?

Mary Van Vonderen practices at 2509 County Highway I, Chippewa Falls, WI 54729. The listed phone number is (920) 496-4700.

What is Mary Van Vonderen's specialty?

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

Is Mary Van Vonderen enrolled in Medicare?

Yes. Mary Van Vonderen 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 Mary Van Vonderen accept?

Health plans from Medica list Mary Van Vonderen 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.

When was this NPI record last updated?

The NPPES record for Mary Van Vonderen was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.