CAROLINE A ABEL APNP
NPI 1225526205
Nurse Practitioner - Women's Health in Neenah, WI

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
200 THEDA CLARK MEDICAL PLZ STE 130, NEENAH, WI 54956(920) 729-7105 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Feb 4, 2022, Jul 30, 2020 and 2 more (5 updates tracked since 2018).

About Caroline A Abel Apnp NPPES

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

CAROLINE A ABEL APNP (NPI 1225526205) is an individual women's health provider in Neenah, Wisconsin, licensed in Wisconsin (853333) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225526205
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameCAROLINE A ABELCredential: APNP
Location Address200 THEDA CLARK MEDICAL PLZ STE 130Neenah, WI 54956-2790
Mailing Address3232 N Ballard Rd Ste 100Appleton, WI 54911-8804 · (920) 729-7105
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateApril 27, 20225 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1225526205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WI · 853333
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8533 (WI)
200 THEDA CLARK MEDICAL PLZ STE 130, Neenah, WI 54956

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

Caroline A Abel 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 ID8224387212
PECOS Enrollment IDI20180824000628
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.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Abel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Womens Care Of Wisconsin Sc
  • 30 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.

Areas of Expertise CMS Part B claims

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 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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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 6

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

Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956
Obstetrics & Gynecology
200 THEDA CLARK MEDICAL PLZ STE 130
NEENAH, WI 54956

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 Caroline Abel's NPI number?

The NPI number for Caroline Abel is 1225526205. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Caroline Abel located?

Caroline Abel practices at 200 Theda Clark Medical Plz Ste 130, Neenah, WI 54956. The listed phone number is (920) 729-7105.

What is Caroline Abel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Caroline Abel enrolled in Medicare?

Yes. Caroline Abel 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 organization bills Medicare for Caroline Abel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Abel reassigns Medicare benefits to Women's Care Of Wisconsin S.C. (Neenah, WI). The 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 Caroline Abel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Abel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Caroline Abel 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 Caroline Abel affiliated with any hospitals?

According to CMS data, Caroline Abel is affiliated with Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for Caroline Abel was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.