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WILLARD NETTLES MD
NPI 1346264470
Pediatrics in Racine, WI

Active since July 26, 2006PECOS Enrolled
3807 SPRING ST, RACINE, WI 53405(262) 687-8282 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willard Nettles Md NPPES

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

WILLARD NETTLES MD (NPI 1346264470) is an individual pediatrics provider in Racine, Wisconsin, licensed in Wisconsin (24588) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346264470
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWILLARD NETTLESCredential: MD
Location Address3807 SPRING STRacine, WI 53405-1667
Mailing Address3807 Spring StRacine, WI 53405-1667 · (262) 687-8282
Phone(262) 687-8282
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346264470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 24588
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3807 SPRING ST, Racine, WI 53405
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Other Identifiers 1

Medicare UPINB55349WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willard Nettles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

JEFFREY NAUS MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
CAMILLE A. PAQUETTE-SCHULGIT M.D.
Family Medicine
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173
LESLEY DELGADO M.D.
Pediatrics
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8282
SACHIN H. PANCHAL M.D.
Internal Medicine
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MS. LINDA M THOMSON RPH
Pharmacist
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8430
ASCENSION ALL SAINTS HOSPITAL, INC
Pharmacy (Community/Retail Pharmacy)
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8430
LESLIE M HERTZ MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
KYLIE S NORDNESS PA-C
Physician Assistant
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173

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 Willard Nettles's NPI number?

The NPI number for Willard Nettles is 1346264470. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Willard Nettles located?

Willard Nettles practices at 3807 Spring St, Racine, WI 53405. The listed phone number is (262) 687-8282.

What is Willard Nettles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Willard Nettles enrolled in Medicare?

Yes. Willard Nettles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Willard Nettles was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.