BRYNN RADTKE
NPI 1285553271
Nurse Practitioner - Family in Appleton, WI
About Brynn Radtke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYNN RADTKE (NPI 1285553271) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (18611-33) and active in the NPI registry since July 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brynn Radtke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brynn Radtke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
APPLETON, WI 54911
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 Brynn Radtke's NPI number?
The NPI number for Brynn Radtke is 1285553271. It was assigned to this individual provider in the NPPES registry on July 13, 2026.
Where is Brynn Radtke located?
Brynn Radtke practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.
What is Brynn Radtke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brynn Radtke enrolled in Medicare?
Yes. Brynn Radtke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brynn Radtke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brynn Radtke reassigns Medicare benefits to Thedacare, Incorporated (Menasha, 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 Brynn Radtke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brynn Radtke was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Brynn Radtke · NPI 1285553271
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since July 13, 2026.
## Identity
- **NPI:** 1285553271 (Entity type: Individual)
- **Enumerated:** July 13, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18611-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 N MEADE ST, Appleton, WI 54911-3454
- **Phone:** (920) 731-4101
## 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:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285553271) · Data from the CMS NPPES public registry.