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MR. MICHAEL SCOTT CONGEMI ACNP-BC
NPI 1275766420
Nurse Practitioner - Acute Care in Big Bend, WI

Active since September 03, 2009PECOS EnrolledAccepts Medicare Assignment
W236S7050 BIG BEND DR STE 6, BIG BEND, WI 53103(262) 436-1340(262) 436-9571 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Scott Congemi Acnp-bc NPPES

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

MR. MICHAEL SCOTT CONGEMI ACNP-BC (NPI 1275766420) is an individual acute care provider in Big Bend, Wisconsin, licensed in Wisconsin (3809-033) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275766420
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. MICHAEL SCOTT CONGEMICredential: ACNP-BC
Location AddressW236S7050 BIG BEND DR STE 6Big Bend, WI 53103-9497
Mailing AddressW236s7050 Big Bend Dr Ste 6Big Bend, WI 53103-9497 · (262) 436-1340 · Fax (262) 436-9571
Phone(262) 436-1340
Fax(262) 436-9571
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 3, 2009
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1275766420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in WI · 3809-033
W236S7050 BIG BEND DR STE 6, Big Bend, WI 53103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Scott Congemi Acnp-bc 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 ID941482228
PECOS Enrollment IDI20110308000417
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 53103 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.

Reported Quality Measures

Colorectal Cancer Screening
0%63 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
8%142 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
2%121 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%140 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 20 patients
0%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

INTEGRATED HEALTH CARE CLINIC, LLC
Clinic/Center (Health Service)
W236S7050 BIG BEND DR STE 6
BIG BEND, WI 53103
Waukesha County (262) 436-1340

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 Michael Congemi's NPI number?

The NPI number for Michael Congemi is 1275766420. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Michael Congemi located?

Michael Congemi practices at W236s7050 Big Bend Dr Ste 6, Big Bend, WI 53103. The listed phone number is (262) 436-1340.

What is Michael Congemi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Congemi enrolled in Medicare?

Yes. Michael Congemi 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.

What insurance does Michael Congemi accept?

Health plans from UnitedHealthcare list Michael Congemi 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 Michael Congemi was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.