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PRISCILLA CAROLINA HIDALGO MD
NPI 1447416672
Psychiatry & Neurology - Psychiatry in Two Rivers, WI

Active since August 07, 2008PECOS Enrolled
5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-7420 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Jan 24, 2022, Dec 27, 2021 and 3 more (6 updates tracked since 2015).

About Priscilla Carolina Hidalgo Md NPPES

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

PRISCILLA CAROLINA HIDALGO MD (NPI 1447416672) is an individual psychiatry provider in Two Rivers, Wisconsin, licensed in Wisconsin (76124) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447416672
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePRISCILLA CAROLINA HIDALGOCredential: MD
Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 793-7420
Sole ProprietorNo
Enumeration DateAugust 7, 2008
Last NPPES UpdateDecember 2, 20246 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1447416672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 76124
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5300 MEMORIAL DR, Two Rivers, WI 54241
Open in Google Maps ↗

Other Identifiers 1

Medicaid100187707WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priscilla Carolina Hidalgo Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Priscilla Hidalgo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
26 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461
Daymark Recovery Services, Inc.
705 mi
Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
NPI 1558329243 (704) 939-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

JOANNA SMOGOLESKI
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7400
KAYCEE CAROBINE
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7570
LISA A KUMBALEK NP
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7300
REBECCA CLARE RUSCH DIABETIC EDUCATOR
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7332
DR. DOUGLAS E RAPISARDA MD
Otolaryngology
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7530
ANGELA KATSMA
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7337
DR. BRYCE ALEXANDRA LEWELLEN O.D.
Optometrist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7515
DR. STEVEN BRADLEY GOLDIN MD PHD MPH CPH
Surgery
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7300

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 Priscilla Hidalgo's NPI number?

The NPI number for Priscilla Hidalgo is 1447416672. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Priscilla Hidalgo located?

Priscilla Hidalgo practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 793-7420.

What is Priscilla Hidalgo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Priscilla Hidalgo enrolled in Medicare?

Yes. Priscilla Hidalgo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Priscilla Hidalgo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Hidalgo reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Sheboygan, WI) and Daymark Recovery Services, Inc. (Concord, NC). 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 Priscilla Hidalgo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priscilla Hidalgo accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Cigna Healthcare and HealthPartners and 3 other insurers list Priscilla Hidalgo 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 Priscilla Hidalgo was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.