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CHEYENNE QUANDT-WALLE PA-C
NPI 1417609280
Physician Assistant in Neenah, WI

Active since January 24, 2022PECOS Enrolled

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2022, Jan 24, 2022 (2 updates tracked since 2022).

About Cheyenne Quandt-walle Pa-c NPPES

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

CHEYENNE QUANDT-WALLE PA-C (NPI 1417609280) is an individual physician assistant in Neenah, Wisconsin, licensed in North Carolina (0010-12013) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417609280
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHEYENNE QUANDT-WALLECredential: PA-C
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address130 2nd StNeenah, WI 54956-2883
Phone(920) 729-3100
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1417609280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-12013
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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 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 (PECOS)

Cheyenne Quandt-walle Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$118.59 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 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 Cheyenne Quandt-walle's NPI number?

The NPI number for Cheyenne Quandt-walle is 1417609280. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Cheyenne Quandt-walle located?

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

What is Cheyenne Quandt-walle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cheyenne Quandt-walle enrolled in Medicare?

Yes. Cheyenne Quandt-walle is registered in the Medicare PECOS enrollment system.

What insurance does Cheyenne Quandt-walle accept?

Health plans from CareSource (Common Ground Healthcare) list Cheyenne Quandt-walle 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 Cheyenne Quandt-walle was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.