JENSEN MARIE BUDDENHAGEN
NPI 1235079138
Nurse Practitioner - Family in Fond Du Lac, WI

Q: What is Jensen Buddenhagen's NPI number?

The NPI number for Jensen Buddenhagen is 1235079138. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Jensen Buddenhagen's specialty?

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

Active since March 30, 2026PECOS Enrolled

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2026, Mar 30, 2026 (2 updates tracked since 2026).

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About Jensen Marie Buddenhagen NPPES

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

JENSEN MARIE BUDDENHAGEN (NPI 1235079138) is an individual family provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (16727-33) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235079138

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENSEN MARIE BUDDENHAGEN

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address540 Seventh StHartford, WI 53027-1316

Phone(920) 929-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 30, 2026

Last NPPES UpdateMay 22, 20262 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1235079138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 16727-33

430 E DIVISION ST, Fond Du Lac, WI 54935

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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, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jensen Marie Buddenhagen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901378496

PECOS Enrollment IDI20260616002016

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 Jensen Buddenhagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare, Inc

Same address

General Acute Care Hospital

430 E DIVISION ST
Fond Du Lac, WI 54935

Reassigned Medicare billing, Wisconsin enrollment
606 clinicians in this Medicare group

NPI 1346228541 (920) 929-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)