DEBRA KAY DEGROOT APNP
NPI 1225707953
Nurse Practitioner - Adult Health in Appleton, WI

Q: What is Debra Degroot's NPI number?

The NPI number for Debra Degroot is 1225707953. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Q: What is Debra Degroot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Debra Degroot was last updated on January 12, 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.

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment

2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 225-7875(920) 993-5003 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2022, Dec 20, 2021, Sep 7, 2021 (3 updates tracked since 2021).

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About Debra Kay Degroot Apnp NPPES

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

DEBRA KAY DEGROOT APNP (NPI 1225707953) is an individual adult health provider in Appleton, Wisconsin, licensed in Wisconsin (10881) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1225707953

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDEBRA KAY DEGROOTCredential: APNP

Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408

Mailing Address2297 Skyview StGreen Bay, WI 54311-6000 · (920) 366-2458

Phone(920) 225-7875

Fax(920) 993-5003

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 7, 2021

Last NPPES UpdateJanuary 12, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2022

✔ NPI 1225707953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WI · 10881

Also ListedNurse PractitionerTaxonomy 363L00000X · License 10881-33 (WI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 10881 (WI)

2600 S HERITAGE WOODS DR, Appleton, WI 54915

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Secondary Practice Location 1

Location 12297 Skyview StGreen Bay, WI 54311-6000 · Phone (920) 366-2458

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.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

Debra Kay Degroot 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 ID1951792167

PECOS Enrollment IDI20211223000732

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

288 services143 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

63 services41 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

59 services54 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

58 services38 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

58 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

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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.

LORI J SCHAETZ OTR, CLT

Occupational Therapist