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ANDREA J HILGENBERG NP
NPI 1255501987
Nurse Practitioner - Pediatrics in Appleton, WI

Active since March 10, 2008PECOS Enrolled
80.46/100
CMS Quality Rating
2575 E EVERGREEN DRIVE, APPLETON, WI 54913(920) 969-5353(414) 337-7201 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2023, May 1, 2018 (2 updates tracked since 2018).

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

NPI1255501987
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANDREA J HILGENBERGCredential: NP
Location Address2575 E EVERGREEN DRIVEAppleton, WI 54913-2883
Mailing Address2575 E Evergreen DriveAppleton, WI 54913-2883 · (920) 969-5353 · Fax (414) 337-7201
Phone(920) 969-5353
Fax(414) 337-7201
Sole ProprietorNo
Enumeration DateMarch 10, 2008
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1255501987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 3370-033
2575 E EVERGREEN DRIVE, Appleton, WI 54913
Open in Google Maps ↗

Other Identifiers 1

Medicaid1255501987WI

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea J Hilgenberg Np 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.

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.

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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

DR. KIMBERLY J SEEGER LANGLAIS MD
Pediatrics (Neonatal-Perinatal Medicine)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
LAURA M PIERRE CPNP
Nurse Practitioner (Pediatrics)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
MATTHEW J ARMSTRONG APNP
Nurse Practitioner
2575 E EVERGREEN DRIVE, PEDIATRIC UROLOGY
APPLETON, WI 54913
Outagamie County (920) 969-5353
LAURA ANN MCCAULEY MD
Internal Medicine (Pulmonary Disease)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
DR. SAMANTHA CZERNIAK OD
Optometrist
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
MS. SHARI K LIESCH APNP
Nurse Practitioner
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
MS. MEGAN MARIE MCNALLY APNP
Nurse Practitioner (Pediatrics)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353
DANIEL ROBERT BEACHER M.D.
Pediatrics (Pediatric Cardiology)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Outagamie County (920) 969-5353

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.

What insurance does Andrea Hilgenberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners 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 with the weekly NPPES data releases published by CMS.