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APPLETON PLASTIC SURGERY CENTER, SC
NPI 1235246869
Plastic Surgery in Appleton, WI

Active since August 23, 2006
5605 WATERFORD LN, APPLETON, WI 54913(920) 738-7200(920) 273-2500 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Appleton Plastic Surgery Center, Sc NPPES

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

APPLETON PLASTIC SURGERY CENTER, SC (NPI 1235246869) is a healthcare organization registered as a plastic surgery in Appleton, Wisconsin and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Stevens Point and lists Meredith Kiesnowski, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235246869
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameAPPLETON PLASTIC SURGERY CENTER, SC
Location Address5605 WATERFORD LNAppleton, WI 54913-8438
Mailing Address5605 Waterford LnAppleton, WI 54913-8438 · (920) 738-7200
Phone(920) 738-7200
Fax(920) 273-2500
Organization SubpartNo
Authorized OfficialMeredith KiesnowskiAdministrator · (920) 738-7200
Enumeration DateAugust 23, 2006
Last NPPES UpdateApril 4, 2019
✔ NPI 1235246869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5605 WATERFORD LN, Appleton, WI 54913
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Secondary Practice Location 1

Location 1824 Illinois AveStevens Point, WI 54481-3112 · Phone (920) 738-7200 · Fax (920) 273-2500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Appleton Plastic Surgery Center, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Appleton Plastic Surgery Center, Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brian Kiesnowski, MD
Plastic and Reconstructive Surgery
NPI 1285607317
5605 WATERFORD LN
Appleton, WI 54913
(920) 738-7200
✔ PECOS✔ Accepts MedicareSame address
Allison Stache, APNP
Nurse Practitioner
NPI 1063835288
5605 W WATERFORD LN
Appleton, WI 54913
(920) 738-7200
✔ PECOS✔ Accepts MedicareSame address

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

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 Appleton Plastic Surgery Center, Sc's NPI number?

The NPI number for Appleton Plastic Surgery Center, Sc is 1235246869. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Appleton Plastic Surgery Center, Sc located?

Appleton Plastic Surgery Center, Sc is located at 5605 Waterford Ln, Appleton, WI 54913. The listed phone number is (920) 738-7200.

What is Appleton Plastic Surgery Center, Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Appleton Plastic Surgery Center, Sc enrolled in Medicare?

Yes. Appleton Plastic Surgery Center, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Appleton Plastic Surgery Center, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Appleton Plastic Surgery Center, Sc, in Nurse Practitioner and Plastic and Reconstructive Surgery. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Appleton Plastic Surgery Center, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Appleton Plastic Surgery Center, Sc 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 Appleton Plastic Surgery Center, Sc was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.