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MS. TERRY A KOLLENBROICH CPNP
NPI 1235180076
Nurse Practitioner in Waterford, WI

Active since May 15, 2006PECOS Enrolled
818 FOREST LN, WATERFORD, WI 53185(262) 514-3700(262) 514-3867 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Dec 2, 2021 (2 updates tracked since 2021).

About Ms. Terry A Kollenbroich Cpnp NPPES

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

MS. TERRY A KOLLENBROICH CPNP (NPI 1235180076) is an individual nurse practitioner in Waterford, Wisconsin, licensed in Wisconsin (2373) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235180076
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. TERRY A KOLLENBROICHCredential: CPNP
Location Address818 FOREST LNWaterford, WI 53185-4585
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-6250
Phone(262) 514-3700
Fax(262) 514-3867
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1235180076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 2373
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.
818 FOREST LN, Waterford, WI 53185
Open in Google Maps ↗

Other Identifiers 1

Medicaid39847700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Terry A Kollenbroich Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Aurora Medical Group, Inc.
18 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53185 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 19

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

MS. LIBBY RUMARY FNP-BC
Nurse Practitioner
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-8199
ERIN EMILY DROY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
CAILAH J KASULKE MD
Family Medicine
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
SHIVANI A PATEL FNP-BC
Nurse Practitioner
818 FOREST LN
WATERFORD, WI 53185
Racine County (800) 326-2250
MELISSA A KERSTEN FNP, RN
Nurse Practitioner
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-8199
MRS. BETH A WEIDMAN APNP
Nurse Practitioner
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
SHELLEY FLASCH APNP
Nurse Practitioner
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 148-1995
DR. ANWAR R ISABELL M.D.
Family Medicine
818 FOREST LN
WATERFORD, WI 53185
Racine County (262) 514-8199

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 Terry Kollenbroich's NPI number?

The NPI number for Terry Kollenbroich is 1235180076. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Terry Kollenbroich located?

Terry Kollenbroich practices at 818 Forest Ln, Waterford, WI 53185. The listed phone number is (262) 514-3700.

What is Terry Kollenbroich's specialty?

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

Is Terry Kollenbroich enrolled in Medicare?

Yes. Terry Kollenbroich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terry Kollenbroich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Kollenbroich reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, 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 Terry Kollenbroich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Kollenbroich accept?

Health plans from Aspirus Health Plan list Terry Kollenbroich 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 Terry Kollenbroich was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.