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TERESA J WIERSMA NP
NPI 1417931833
Nurse Practitioner - Family in Randolph, WI

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
504 S HIGH ST, RANDOLPH, WI 53956(920) 326-5060 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa J Wiersma Np NPPES

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

TERESA J WIERSMA NP (NPI 1417931833) is an individual family provider in Randolph, Wisconsin, licensed in Wisconsin (125502) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417931833
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA J WIERSMACredential: NP
Location Address504 S HIGH STRandolph, WI 53956-1499
Mailing Address504 S High St, Po Box 101Randolph, WI 53956-1499 · (920) 326-5060
Phone(920) 326-5060
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 30, 2005
Last NPPES UpdateSeptember 15, 2016
✔ NPI 1417931833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 125502
504 S HIGH ST, Randolph, WI 53956
Open in Google Maps ↗

Other Identifiers 7

Medicaid41253300WI
OtherP00206887WI · Railroad Medicare
OtherWI01S5WI · John Deere
Other13789WI · Dean
Other390807236CWWI · Unity
Medicare ID-Type Unspecified004916130WI
Medicare ID-Type Unspecified017222245WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz, Security 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 and accepts Medicare assignment

Teresa J Wiersma Np 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 ID7618925546
PECOS Enrollment IDI20050107000400
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521327
Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County
Emergency services

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53956 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.

Reported Quality Measures

Advance Care Plan
99%100 patients4/55-star benchmark: 100%
Breast Cancer Screening
91%34 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
89%54 patients5/55-star benchmark: 88%
Diabetes: Eye Exam
59%22 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%22 patients4/55-star benchmark: 91%
e-Prescribing
97%931 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%26 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
53%32 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers24 claims40 services$6.59 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
1 supplier12 claims12 services$89.56 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 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.

MRS. LINDA KATHERINE MULDER PA
Physician Assistant
504 S HIGH ST
RANDOLPH, WI 53956
Dodge County (920) 326-5060

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 Teresa Wiersma's NPI number?

The NPI number for Teresa Wiersma is 1417931833. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Teresa Wiersma located?

Teresa Wiersma practices at 504 S High St, Randolph, WI 53956. The listed phone number is (920) 326-5060.

What is Teresa Wiersma's specialty?

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

Is Teresa Wiersma enrolled in Medicare?

Yes. Teresa Wiersma 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.

What insurance does Teresa Wiersma accept?

Health plans from Quartz and Security Health Plan list Teresa Wiersma 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 Teresa Wiersma affiliated with any hospitals?

According to CMS data, Teresa Wiersma is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd), Waupun Memorial Hospital and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Wiersma was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.