ANDREA J HILGENBERG NP
NPI 1255501987
Nurse Practitioner - Pediatrics in Appleton, WI
About Andrea J Hilgenberg Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA J HILGENBERG NP (NPI 1255501987) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (3370-033) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea J Hilgenberg Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Hilgenberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Childrens Specialty Group Inc
- 424 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54913
APPLETON, WI 54913
APPLETON, WI 54913
APPLETON, WI 54913
APPLETON, WI 54913
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 Andrea Hilgenberg's NPI number?
The NPI number for Andrea Hilgenberg is 1255501987. It was assigned to this individual provider in the NPPES registry on March 10, 2008.
Where is Andrea Hilgenberg located?
Andrea Hilgenberg practices at 2575 E Evergreen Drive, Appleton, WI 54913. The listed phone number is (920) 969-5353.
What is Andrea Hilgenberg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Andrea Hilgenberg enrolled in Medicare?
Yes. Andrea Hilgenberg is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrea Hilgenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hilgenberg reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Children's Specialty Group, Inc. (Milwaukee, WI). Each 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 Andrea Hilgenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Hilgenberg accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Andrea Hilgenberg 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 Andrea Hilgenberg was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Andrea J Hilgenberg, NP · NPI 1255501987
Pediatrics physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since March 10, 2008.
## Identity
- **NPI:** 1255501987 (Entity type: Individual)
- **Enumerated:** March 10, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 3370-033 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2575 E EVERGREEN DRIVE, Appleton, WI 54913-2883
- **Phone:** (920) 969-5353 · **Fax:** (414) 337-7201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Children's Specialty Group, Inc. (NPI 1942970405, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
- **Other identifiers:** Medicaid 1255501987 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1255501987) · Data from the CMS NPPES public registry.