Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEGAN LINDSAY HETZNER CNM, APRN
NPI 1336828649
Advanced Practice Midwife in Sheboygan, WI

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment
1411 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 458-4419 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Oct 11, 2023, Aug 14, 2023 and 1 more (4 updates tracked since 2023).

About Megan Lindsay Hetzner Cnm, Aprn NPPES

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

MEGAN LINDSAY HETZNER CNM, APRN (NPI 1336828649) is an individual advanced practice midwife in Sheboygan, Wisconsin, licensed in Wisconsin (14201-33) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336828649
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMEGAN LINDSAY HETZNERCredential: CNM, APRN
Location Address1411 N TAYLOR DRSheboygan, WI 53081-3043
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2023
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1336828649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in WI · 14201-33
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 14201-33 (WI)
1411 N TAYLOR DR, Sheboygan, WI 53081

Other Identifiers 1

Medicaid100247677WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Lindsay Hetzner Cnm, Aprn 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 ID9931562741
PECOS Enrollment IDI20230828000568
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Megan Hetzner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Podiatrist
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Family Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Nurse Anesthetist, Certified Registered
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Registered Nurse
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Anesthesiology
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Otolaryngology (Facial Plastic Surgery)
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Internal Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Orthopaedic Surgery
1411 N TAYLOR DR
SHEBOYGAN, WI 53081

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 Megan Hetzner's NPI number?

The NPI number for Megan Hetzner is 1336828649. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Megan Hetzner located?

Megan Hetzner practices at 1411 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 458-4419.

What is Megan Hetzner's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Megan Hetzner enrolled in Medicare?

Yes. Megan Hetzner 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.

Which organizations bill Medicare for Megan Hetzner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Hetzner reassigns Medicare benefits to 3 organizations: St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Prevea Clinic, Inc. (Green Bay, WI) and St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Hetzner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Hetzner accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Megan Hetzner 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 Megan Hetzner affiliated with any hospitals?

According to CMS data, Megan Hetzner is affiliated with St Nicholas Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Megan Hetzner was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.