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TINA L VIDETIC APRN, BC
NPI 1396930707
Nurse Practitioner in Sheboygan, WI

Active since September 09, 2007PECOS Enrolled
1226 N 8TH ST, SHEBOYGAN, WI 53081(920) 678-7705 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Dec 15, 2023, Dec 6, 2021 and 3 more (6 updates tracked since 2016).

About Tina L Videtic Aprn, Bc NPPES

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

TINA L VIDETIC APRN, BC (NPI 1396930707) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (3260) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396930707
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTINA L VIDETICCredential: APRN, BC
Location Address1226 N 8TH STSheboygan, WI 53081-3404
Mailing Address1226 N 8th StSheboygan, WI 53081-3404 · (920) 678-7705
Phone(920) 678-7705
Sole ProprietorNo
Enumeration DateSeptember 9, 2007
Last NPPES UpdateJanuary 22, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1396930707 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 · 3260
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3260 (WI)
1226 N 8TH ST, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid100013142WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus 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 (PECOS)

Tina L Videtic Aprn, Bc 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 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims32 services$4.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. DAVID W FENRICH H.I.S.
Hearing Instrument Specialist
1226 N 8TH ST, SUITE 103
SHEBOYGAN, WI 53081
Sheboygan County (920) 452-0213

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 Videtic's NPI number?

The NPI number for Tina Videtic is 1396930707. It was assigned to this individual provider in the NPPES registry on September 9, 2007.

Where is Tina Videtic located?

Tina Videtic practices at 1226 N 8th St, Sheboygan, WI 53081. The listed phone number is (920) 678-7705.

What is Tina Videtic's specialty?

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

Is Tina Videtic enrolled in Medicare?

Yes. Tina Videtic is registered in the Medicare PECOS enrollment system.

What insurance does Tina Videtic accept?

Health plans from Aspirus Health Plan list Tina Videtic 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 Tina Videtic was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.