SANDRA K MATZKE APNP
NPI 1417320698
Nurse Practitioner - Family in Edgerton, WI

Q: What is Sandra Matzke's NPI number?

The NPI number for Sandra Matzke is 1417320698. It was assigned to this individual provider in the NPPES registry on November 10, 2015. The provider is also known as Sandra K Sargent Apnp.

Q: What is Sandra Matzke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Matzke was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 10, 2015PECOS EnrolledAccepts Medicare Assignment

82.79/100

CMS Quality Rating

11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5024 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Dec 4, 2020, Jan 24, 2017 and 2 more (5 updates tracked since 2015).

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About Sandra K Matzke Apnp NPPES

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

SANDRA K MATZKE APNP (NPI 1417320698) is an individual family provider in Edgerton, Wisconsin, licensed in Wisconsin (6426-33) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417320698

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA K MATZKECredential: APNP

Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002

Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5024

Phone(608) 884-3354

Fax(608) 884-5024

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 10, 2015

Last NPPES UpdateAugust 3, 20255 updates tracked since enumeration

NPPES CertifiedAugust 3, 2025

✔ NPI 1417320698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 6426-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 6426-33 (WI)

11051 N SHERMAN RD, Edgerton, WI 53534

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Other Names 1

Former Name (1)Sandra K Sargent Apnp

Other Identifiers 1

Medicaid1417320698WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Sandra K Matzke 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 ID2769783760

PECOS Enrollment IDI20151216001917

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 2

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

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 53534 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.98

Promoting Interoperability

Improvement Activities

Cost

66.19

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

15%78 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

75%96 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

22%131 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

65%52 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

DEAN HEALTH SYSTEMS, INC.

Durable Medical Equipment & Medical Supplies