SANDRA K MATZKE APNP
NPI 1417320698
Nurse Practitioner - Family in Edgerton, WI
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Sandra Matzke reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Beaver Dam Community Hospitals Inc.
- 1,447 clinicians in this Medicare group
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 141 clinicians in this Medicare group
Waukesha, WI 53186
- Reassigned Medicare billing, Wisconsin enrollment
- 191 clinicians in this Medicare group
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1679746747 (Wisconsin)
- 1,440 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beloit Health System
Acute Care Hospitals · Beloit, WIEdgerton Hospital And Health Services
Critical Access Hospitals · Edgerton, WIStoughton Hospital
Critical Access Hospitals · Stoughton, WIPhysician 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.
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.
Reported Quality Measures
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.
EDGERTON, WI 53534
EDGERTON, WI 53534
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 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.
Where is Sandra Matzke located?
Sandra Matzke practices at 11051 N Sherman Rd, Edgerton, WI 53534. The listed phone number is (608) 884-3354.
What is Sandra Matzke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Matzke enrolled in Medicare?
Yes. Sandra Matzke 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.
Which organizations bill Medicare for Sandra Matzke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Matzke reassigns Medicare benefits to 8 organizations: Beaver Dam Community Hosptials Inc (Columbus, WI), Maple Medical Sc (Waukesha, WI), Oak Medical Sc (Waukesha, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI), Marshfield Clinic Inc (Marshfield, WI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Matzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Matzke accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Sandra Matzke 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 Sandra Matzke affiliated with any hospitals?
According to CMS data, Sandra Matzke is affiliated with Beloit Health System, Edgerton Hospital And Health Services and Stoughton Hospital.
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 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.
# Sandra K Matzke, APNP · NPI 1417320698
Family physician in Edgerton, Wisconsin. Individual provider, active in the CMS NPPES registry since November 10, 2015.
## Identity
- **NPI:** 1417320698 (Entity type: Individual)
- **Enumerated:** November 10, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6426-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 11051 N SHERMAN RD, Edgerton, WI 53534-9002
- **Phone:** (608) 884-3354 · **Fax:** (608) 884-5024
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Beaver Dam Community Hosptials Inc (NPI 1275833659, Columbus, WI); Maple Medical Sc (NPI 1487152104, Waukesha, WI); Oak Medical Sc (NPI 1669910345, Waukesha, WI); Mchs Hospitals Inc (NPI 1568188589, Wisconsin Rapids, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 3, 2025
- **Other identifiers:** Medicaid 1417320698 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1417320698) · Data from the CMS NPPES public registry.