MELINDA NAOMI PAFFENROTH
NPI 1376357350
Nurse Practitioner in Neenah, WI

Q: What is Melinda Paffenroth's NPI number?

The NPI number for Melinda Paffenroth is 1376357350. It was assigned to this individual provider in the NPPES registry on February 1, 2025.

Q: What is Melinda Paffenroth's specialty?

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

Active since February 01, 2025PECOS EnrolledAccepts Medicare Assignment

130 2ND ST, NEENAH, WI 54956(920) 729-3100(920) 729-2384 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melinda Naomi Paffenroth NPPES

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

MELINDA NAOMI PAFFENROTH (NPI 1376357350) is an individual nurse practitioner in Neenah, Wisconsin, licensed in Wisconsin (1640233) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376357350

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELINDA NAOMI PAFFENROTH

Location Address130 2ND STNeenah, WI 54956-2883

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910

Phone(920) 729-3100

Fax(920) 729-2384

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 1, 2025

Last NPPES UpdateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1376357350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 1640233

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.

130 2ND ST, Neenah, WI 54956

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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, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Melinda Naomi Paffenroth 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 ID8224557939

PECOS Enrollment IDI20250527001647

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.

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521334

Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

JENNIFER MARIE KETTERHAGEN PHARMD

Pharmacist

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 454-5080

JAMES P MANDERLE MD

Nurse Anesthetist, Certified Registered

130 2ND ST, STE. A107
NEENAH, WI 54956

Winnebago County (920) 729-3332

ALLISON A HOELZEL OT

Occupational Therapist

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 729-2616

ELIZABETH BONSON PT

Physical Therapist

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 729-2155

SARAH M MARTIN

Physical Therapist

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 454-2973

JUSTIN EISBERNER

Nurse Anesthetist, Certified Registered

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 729-3100

DR. ERIK VERHAGE MD

Pediatrics (Neonatal-Perinatal Medicine)

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 969-7900

ALYSSA ANN ROTZENBERG

Physical Therapist

130 2ND ST
NEENAH, WI 54956

Winnebago County (920) 729-3100

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 Melinda Paffenroth's NPI number?

The NPI number for Melinda Paffenroth is 1376357350. It was assigned to this individual provider in the NPPES registry on February 1, 2025.

Where is Melinda Paffenroth located?

Melinda Paffenroth practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-3100.

What is Melinda Paffenroth's specialty?

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

Is Melinda Paffenroth enrolled in Medicare?

Yes. Melinda Paffenroth 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 Melinda Paffenroth accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Melinda Paffenroth 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 Melinda Paffenroth affiliated with any hospitals?

According to CMS data, Melinda Paffenroth is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca, Thedacare Medical Center - Shawano and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Paffenroth was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.