MRS. NANCY ANN PEJSA RN, GNP
NPI 1255646725
Nurse Practitioner - Gerontology in Waupaca, WI

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment
710 RIVERSIDE DR, WAUPACA, WI 54981(715) 256-3000 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Feb 9, 2016 (2 updates tracked since 2016).

About Mrs. Nancy Ann Pejsa Rn, Gnp NPPES

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

MRS. NANCY ANN PEJSA RN, GNP (NPI 1255646725) is an individual gerontology provider in Waupaca, Wisconsin, licensed in Wisconsin (4180) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255646725
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. NANCY ANN PEJSACredential: RN, GNP
Location Address710 RIVERSIDE DRWaupaca, WI 54981-1941
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 256-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 9, 2010
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1255646725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 4180
710 RIVERSIDE DR, Waupaca, WI 54981

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nancy Ann Pejsa Rn, Gnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850576521
PECOS Enrollment IDI20110421000730
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 Nancy Pejsa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
390 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
49 services28 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
42 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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.

Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant (Medical)
710 RIVERSIDE DR
WAUPACA, WI 54981

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 Nancy Pejsa's NPI number?

The NPI number for Nancy Pejsa is 1255646725. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Nancy Pejsa located?

Nancy Pejsa practices at 710 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 256-3000.

What is Nancy Pejsa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nancy Pejsa enrolled in Medicare?

Yes. Nancy Pejsa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nancy Pejsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Pejsa reassigns Medicare benefits to Thedacare, Incorporated (New London, 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 Nancy Pejsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Pejsa accept?

Health plans from Aspirus Health Plan list Nancy Pejsa 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 Nancy Pejsa was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.