MS. DANELLE M PLENNES PA-C
NPI 1437106531
Physician Assistant in Sheboygan, WI

Active since May 27, 2006PECOS Enrolled
1902 MEAD AVE, SHEBOYGAN, WI 53081(872) 231-3162 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Jun 14, 2019 (2 updates tracked since 2019).

About Ms. Danelle M Plennes Pa-c NPPES

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

MS. DANELLE M PLENNES PA-C (NPI 1437106531) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Wisconsin (1661-23) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437106531
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. DANELLE M PLENNESCredential: PA-C
Location Address1902 MEAD AVESheboygan, WI 53081-6140
Mailing AddressPo Box 74008272Chicago, IL 60674-8272 · (702) 899-0595 · Fax (702) 977-1496
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1437106531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 1661-23 Licensed in WI · 1661
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.

1902 MEAD AVE, Sheboygan, WI 53081

Other Names 1

Former Name (1)Ms. Danelle M. Cote Pa-c

Accepted 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)

Ms. Danelle M Plennes 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 3

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
33 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 6

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers21 claims21 services$32.91 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$76.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims34 services$29.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$16.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers20 claims114 services$1.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers68 claims68 services$29.76 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.

Occupational Therapy Assistant
1902 MEAD AVE
SHEBOYGAN, WI 53081
Occupational Therapy Assistant
1902 MEAD AVE
SHEBOYGAN, WI 53081
Speech-Language Pathologist
1902 MEAD AVE
SHEBOYGAN, WI 53081
Speech-Language Pathologist
1902 MEAD AVE
SHEBOYGAN, WI 53081
Speech-Language Pathologist
1902 MEAD AVE
SHEBOYGAN, WI 53081
Occupational Therapist
1902 MEAD AVE
SHEBOYGAN, WI 53081
Physical Therapist
1902 MEAD AVE
SHEBOYGAN, WI 53081
Physical Therapy Assistant
1902 MEAD AVE
SHEBOYGAN, WI 53081

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 Danelle Plennes's NPI number?

The NPI number for Danelle Plennes is 1437106531. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Ms. Danelle M. Cote Pa-C.

Where is Danelle Plennes located?

Danelle Plennes practices at 1902 Mead Ave, Sheboygan, WI 53081. The listed phone number is (872) 231-3162.

What is Danelle Plennes's specialty?

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

Is Danelle Plennes enrolled in Medicare?

Yes. Danelle Plennes is registered in the Medicare PECOS enrollment system.

What insurance does Danelle Plennes accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Danelle Plennes 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 Danelle Plennes was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.