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ANDREA R ENTERS NURSE PRACTITIONER
NPI 1336540418
Nurse Practitioner - Gerontology in Sussex, WI

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
N54W23859 JOHANSSEN CT, SUSSEX, WI 53089(414) 708-8824 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, May 3, 2024, May 9, 2023 and 3 more (6 updates tracked since 2018).

About Andrea R Enters Nurse Practitioner NPPES

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

ANDREA R ENTERS NURSE PRACTITIONER (NPI 1336540418) is an individual gerontology provider in Sussex, Wisconsin, licensed in Wisconsin (5987) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336540418
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANDREA R ENTERSCredential: NURSE PRACTITIONER
Location AddressN54W23859 JOHANSSEN CTSussex, WI 53089-2142
Mailing AddressN54w23859 Johanssen CtSussex, WI 53089-2142 · (414) 708-8824
Phone(414) 708-8824
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2014
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1336540418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 5987
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5987 (WI)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5987 (WI)
N54W23859 JOHANSSEN CT, Sussex, WI 53089
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Other Names 1

Former Name (1)Andrea Ruth Buchberger

Other Identifiers 1

Medicaid100040273WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Andrea R Enters Nurse Practitioner 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 ID1355562729
PECOS Enrollment IDI20141028002314
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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
480 services123 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
42 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
23 services23 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
23 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53089 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

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

High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$30.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Andrea Enters's NPI number?

The NPI number for Andrea Enters is 1336540418. It was assigned to this individual provider in the NPPES registry on September 9, 2014. The provider is also known as Andrea Ruth Buchberger.

Where is Andrea Enters located?

Andrea Enters practices at N54w23859 Johanssen Ct, Sussex, WI 53089. The listed phone number is (414) 708-8824.

What is Andrea Enters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Andrea Enters enrolled in Medicare?

Yes. Andrea Enters 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 Andrea Enters accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Andrea Enters 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.

When was this NPI record last updated?

The NPPES record for Andrea Enters was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.