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MS. ANDREA MARIE CANTWELL-DURAND RNC, APNP
NPI 1396921375
Nurse Practitioner - Family in Sussex, WI

Active since January 21, 2008PECOS EnrolledAccepts Medicare Assignment
N51W24953 LISBON ROAD, SUSSEX, WI 53089(262) 532-8691 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Nov 6, 2023, Apr 7, 2022 (3 updates tracked since 2022).

About Ms. Andrea Marie Cantwell-durand Rnc, Apnp NPPES

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

MS. ANDREA MARIE CANTWELL-DURAND RNC, APNP (NPI 1396921375) is an individual family provider in Sussex, Wisconsin, licensed in Wisconsin (2572-33) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Watertown, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1396921375
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ANDREA MARIE CANTWELL-DURANDCredential: RNC, APNP
Location AddressN51W24953 LISBON ROADSussex, WI 53089
Mailing Address123 Hospital Dr Ste 212Watertown, WI 53098-3336 · (920) 471-4044 · Fax (833) 471-4090
Phone(262) 532-8691
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 21, 2008
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1396921375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 2572-33
N51W24953 LISBON ROAD, Sussex, WI 53089
Open in Google Maps ↗

Secondary Practice Location 1

Location 1123 Hospital Dr Ste 212Watertown, WI 53098-3336 · Phone (920) 471-4044 · Fax (833) 471-4090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW 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

Ms. Andrea Marie Cantwell-durand Rnc, 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 ID3678626892
PECOS Enrollment IDI20090805000088
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 4

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.
194 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
16 services12 patients
Whole body composition tissue and fluid measurements with interpretation and report 0358T
This procedure measures different components of your body, including muscle, fat, and fluids. It helps to understand your body's overall health and nutritional status. The results are interpreted and compiled into a report for your understanding.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53089 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GURWINDER KAUR APRN
Clinic/Center (Urgent Care)
N51W24953 LISBON ROAD
SUSSEX, WI 53089
Waukesha County (262) 532-8691

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 Andrea Cantwell-durand's NPI number?

The NPI number for Andrea Cantwell-durand is 1396921375. It was assigned to this individual provider in the NPPES registry on January 21, 2008.

Where is Andrea Cantwell-durand located?

Andrea Cantwell-durand practices at N51w24953 Lisbon Road, Sussex, WI 53089. The listed phone number is (262) 532-8691.

What is Andrea Cantwell-durand's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Cantwell-durand enrolled in Medicare?

Yes. Andrea Cantwell-durand 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 Andrea Cantwell-durand accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and Network Health and 2 other insurers list Andrea Cantwell-durand 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.

When was this NPI record last updated?

The NPPES record for Andrea Cantwell-durand was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.