MRS. WENDY ANN PLOEGSTRA APN
NPI 1285880864
Nurse Practitioner - Family in La Jolla, CA

Q: What is Wendy Ploegstra's NPI number?

The NPI number for Wendy Ploegstra is 1285880864. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Q: What is Wendy Ploegstra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Ploegstra was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 14, 2008PECOS EnrolledAccepts Medicare Assignment

10820 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-3330 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Wendy Ann Ploegstra Apn NPPES

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

MRS. WENDY ANN PLOEGSTRA APN (NPI 1285880864) is an individual family provider in La Jolla, California, licensed in Illinois (209007160) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2008).

NPPES Registry Identity

NPI1285880864

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. WENDY ANN PLOEGSTRACredential: APN

Location Address10820 N TORREY PINES RDLa Jolla, CA 92037-1036

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-3330

Phone(858) 554-3330

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2008

Enumeration DateAugust 14, 2008

Last NPPES UpdateApril 3, 2024

NPPES CertifiedApril 3, 2024

✔ NPI 1285880864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IL · 209007160✔ Licensed in CA · NP95028069

10820 N TORREY PINES RD, La Jolla, CA 92037

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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

Mrs. Wendy Ann Ploegstra Apn 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 ID7719054345

PECOS Enrollment IDI20240416002772

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

404 services301 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services69 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

23 services22 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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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.

DR. SARAH DALHOUMI MD

Family Medicine