MRS. TINA MARIE DEGROOT APNP
NPI 1346327392
Clinical Nurse Specialist - Adult Health in Stoughton, WI

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
900 RIDGE ST, STOUGHTON, WI 53589(608) 873-6611 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2024, Dec 17, 2020, Jun 28, 2018 (3 updates tracked since 2018).

About Mrs. Tina Marie Degroot Apnp NPPES

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

MRS. TINA MARIE DEGROOT APNP (NPI 1346327392) is an individual adult health provider in Stoughton, Wisconsin, licensed in Wisconsin (3554-33) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346327392
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMRS. TINA MARIE DEGROOTCredential: APNP
Location Address900 RIDGE STStoughton, WI 53589-1864
Mailing Address900 Ridge StStoughton, WI 53589-1864 · (608) 873-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1346327392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in WI · 3554-33
900 RIDGE ST, Stoughton, WI 53589

Other Identifiers 1

Medicaid38219400WI

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

Mrs. Tina Marie Degroot 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 ID4981590072
PECOS Enrollment IDI20180712002258
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services37 patients
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.
70 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Anesthetist, Certified Registered
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Occupational Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589

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 Tina Degroot's NPI number?

The NPI number for Tina Degroot is 1346327392. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Tina Degroot located?

Tina Degroot practices at 900 Ridge St, Stoughton, WI 53589. The listed phone number is (608) 873-6611.

What is Tina Degroot's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Tina Degroot enrolled in Medicare?

Yes. Tina Degroot 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 Tina Degroot accept?

Health plans from Quartz list Tina Degroot 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 Tina Degroot affiliated with any hospitals?

According to CMS data, Tina Degroot is affiliated with Ssm Health St Mary's Hospital - Madison, University Of Wi Hospitals & Clinics Authority and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Tina Degroot was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.