AVERY MADISON HARTER NP
NPI 1417630211
Nurse Practitioner in Appleton, WI

Q: What is Avery Harter's NPI number?

The NPI number for Avery Harter is 1417630211. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Avery Harter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Avery Harter was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 08, 2023PECOS Enrolled

3329 N RICHMOND ST, APPLETON, WI 54911(920) 380-2715 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 22, 2023, Aug 8, 2023 (2 updates tracked since 2023).

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About Avery Madison Harter Np NPPES

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

AVERY MADISON HARTER NP (NPI 1417630211) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (14669-33) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417630211

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAVERY MADISON HARTERCredential: NP

Location Address3329 N RICHMOND STAppleton, WI 54911-1063

Mailing Address3329 N Richmond StAppleton, WI 54911-1063 · (920) 380-2715

Phone(920) 380-2715

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 8, 2023

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1417630211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 14669-33

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.

3329 N RICHMOND ST, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Madison Harter Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082065008

PECOS Enrollment IDI20240103004436

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.

Medicare Billing Reassignment

Medicare enrollment records show Avery Harter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Fox Valley Wisconsin, Inc

7.7 mi

Multi-Specialty

101 MAIN ST
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
444 clinicians in this Medicare group

NPI 1730126392 (920) 727-4200

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 2

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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 20

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

MORTON DRUG COMPANY INC

Pharmacy (Long Term Care Pharmacy)