DINA PAULETTE SOTOLA APN
NPI 1316398589
Nurse Practitioner - Family in Waukesha, WI

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
2428 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 53188(262) 875-5070(866) 384-9486 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2019, Jun 28, 2016 (2 updates tracked since 2016).

About Dina Paulette Sotola Apn NPPES

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

DINA PAULETTE SOTOLA APN (NPI 1316398589) is an individual family provider in Waukesha, Wisconsin, licensed in Illinois (209.041387) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1316398589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDINA PAULETTE SOTOLACredential: APN
Location Address2428 N GRANDVIEW BLVD STE 102Waukesha, WI 53188-6906
Mailing Address126 Erin RdOconomowoc, WI 53066-8802 · (708) 846-5994
Fax(866) 384-9486
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 28, 2016
Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration
NPI 1316398589 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
License Licensed in IL · 209.041387
2428 N GRANDVIEW BLVD STE 102, Waukesha, WI 53188

Other Names 1

Former Name (1)Dina Paulette Thomas

Secondary Practice Location 1

Location 1300 Randall RdGeneva, IL 60134-4200 · Phone (630) 208-3000

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

Dina Paulette Sotola 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 ID648564039
PECOS Enrollment IDI20190605001050
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.

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.
754 services178 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
745 services226 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.
623 services334 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
99 services61 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims1,712 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims437 services$7.13 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims550 services$3.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Gerontology)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Physical Medicine & Rehabilitation
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Physician Assistant
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Internal Medicine
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188

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 Dina Sotola's NPI number?

The NPI number for Dina Sotola is 1316398589. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Dina Paulette Thomas.

Where is Dina Sotola located?

Dina Sotola practices at 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188. The listed phone number is (262) 875-5070.

What is Dina Sotola's specialty?

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

Is Dina Sotola enrolled in Medicare?

Yes. Dina Sotola 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 Dina Sotola accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Dina Sotola 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 Dina Sotola affiliated with any hospitals?

According to CMS data, Dina Sotola is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dina Sotola was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.