MEGAN LINDSAY HETZNER CNM, APNP
NPI 1336828649
Nurse Practitioner in Sheboygan, WI

Q: 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.

Q: What is Megan Hetzner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Megan Hetzner was last updated on December 26, 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.

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: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Aug 14, 2023, Jul 13, 2023 (3 updates tracked since 2023).

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About Megan Lindsay Hetzner Cnm, Apnp NPPES

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

MEGAN LINDSAY HETZNER CNM, APNP (NPI 1336828649) is an individual nurse practitioner 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 Taxonomy363L00000X

Provider Legal NameMEGAN LINDSAY HETZNERCredential: CNM, APNP

Location Address1411 N TAYLOR DRSheboygan, WI 53081-3043

Mailing Address1411 N Taylor DrSheboygan, WI 53081-3043 · (920) 458-4419

Phone(920) 458-4419

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 13, 2023

Last NPPES UpdateDecember 26, 20233 updates tracked since enumeration

NPPES CertifiedDecember 26, 2023

✔ NPI 1336828649 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 · 14201-33

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 ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 150031-32 (WI)

1411 N TAYLOR DR, Sheboygan, WI 53081

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Accepted Insurance

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

Megan Lindsay Hetzner Cnm, Apnp 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.

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

$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.

SUSAN ANNE EDNA EVANS DPM

Podiatrist