MRS. CAROL ANN SEITZ NP
NPI 1295731529
Nurse Practitioner in Burlington, WI

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
248 MCHENRY ST, BURLINGTON, WI 53105(262) 767-8000 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, Mar 7, 2023, Nov 22, 2021 (3 updates tracked since 2021).

About Mrs. Carol Ann Seitz Np NPPES

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

MRS. CAROL ANN SEITZ NP (NPI 1295731529) is an individual nurse practitioner in Burlington, Wisconsin, licensed in Wisconsin (1827033) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295731529
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CAROL ANN SEITZCredential: NP
Location Address248 MCHENRY STBurlington, WI 53105-1828
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 767-8094 · Fax (262) 767-8096
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 22, 2005
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
NPI 1295731529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 1827033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 97477030 (WI)
248 MCHENRY ST, Burlington, WI 53105

Other Identifiers 1

Medicaid43977300WI

Accepted 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

Mrs. Carol Ann Seitz 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 ID2769437706
PECOS Enrollment IDI20050314000171
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

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 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.
135 services103 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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.

Internal Medicine (Cardiovascular Disease)
248 MCHENRY ST
BURLINGTON, WI 53105
Family Medicine
248 MCHENRY ST
BURLINGTON, WI 53105
Family Medicine
248 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Otolaryngology
248 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Physician Assistant
248 MCHENRY ST
BURLINGTON, WI 53105

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 Carol Seitz's NPI number?

The NPI number for Carol Seitz is 1295731529. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Carol Seitz located?

Carol Seitz practices at 248 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-8000.

What is Carol Seitz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Seitz enrolled in Medicare?

Yes. Carol Seitz 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 Carol Seitz accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Carol Seitz 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 Carol Seitz affiliated with any hospitals?

According to CMS data, Carol Seitz is affiliated with Aurora Memorial Hospital Burlington and Aurora Lakeland Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Seitz was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.