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HEIDI K WARMBOLD NP
NPI 1285886531
Nurse Practitioner - Psychiatric/Mental Health in Weston, WI

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
92.98/100
CMS Quality Rating
5703 MEMORIAL CT, WESTON, WI 54476(715) 204-9808(774) 209-4285 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Aug 24, 2022 (2 updates tracked since 2022).

About Heidi K Warmbold Np NPPES

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

HEIDI K WARMBOLD NP (NPI 1285886531) is an individual psychiatric/mental health provider in Weston, Wisconsin, licensed in Wisconsin (10947-33) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1285886531
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEIDI K WARMBOLDCredential: NP
Location Address5703 MEMORIAL CTWeston, WI 54476-6502
Mailing Address5703 Memorial CtWeston, WI 54476-6502 · (843) 476-1684 · Fax (774) 209-4285
Phone(715) 204-9808
Fax(774) 209-4285
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 17, 2008
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1285886531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 10947-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License R33773 (ND)
5703 MEMORIAL CT, Weston, WI 54476
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1111 W Jackson StWisconsin Rapids, WI 54495-2702 · Phone (715) 421-8845 · Fax (715) 421-2266
Location 2Aspirus Merrill Hospital, 601 S Center AveMerrill, WI 54452 · Phone (843) 476-1684
Location 3400 Burdick Expy EMinot, ND 58701-4768 · Phone (701) 857-7388 · Fax (701) 857-7332

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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 and accepts Medicare assignment

Heidi K Warmbold Np 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 ID8921167214
PECOS Enrollment IDI20210618001932
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 7

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 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.
35 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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.

92.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.82
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DRG CLINICAL, SC
Psychiatry & Neurology (Psychiatry)
5703 MEMORIAL CT
WESTON, WI 54476
Marathon County (715) 204-9808
LISA GOUTHRO APSW
Registered Nurse
5703 MEMORIAL CT
WESTON, WI 54476
Marathon County (715) 204-9808
DR. ROBERT VINCENT GOUTHRO JR. M.D.
Psychiatry & Neurology (Psychiatry)
5703 MEMORIAL CT
WESTON, WI 54476
Marathon County (715) 204-9808
DR. TRISHA STEFONEK PSYD
Psychologist
5703 MEMORIAL CT
WESTON, WI 54476
Marathon County (715) 204-9808

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 Heidi Warmbold's NPI number?

The NPI number for Heidi Warmbold is 1285886531. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Heidi Warmbold located?

Heidi Warmbold practices at 5703 Memorial Ct, Weston, WI 54476. The listed phone number is (715) 204-9808.

What is Heidi Warmbold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heidi Warmbold enrolled in Medicare?

Yes. Heidi Warmbold 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 Heidi Warmbold accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Providence Health Plan and 3 other insurers list Heidi Warmbold 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.

Is Heidi Warmbold affiliated with any hospitals?

According to CMS data, Heidi Warmbold is affiliated with Marshfield Medical Center and Aspirus Tomahawk Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Warmbold was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.