MIKAYLA RUTH PETZKE NP
NPI 1457188492
Nurse Practitioner - Family in Appleton, WI

Active since September 16, 2024PECOS EnrolledAccepts Medicare Assignment
1506 S ONEIDA ST, APPLETON, WI 54915(920) 738-2000 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikayla Ruth Petzke Np NPPES

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

MIKAYLA RUTH PETZKE NP (NPI 1457188492) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (15893-33) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457188492
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIKAYLA RUTH PETZKECredential: NP
Location Address1506 S ONEIDA STAppleton, WI 54915-1305
Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 738-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 15, 2024
NPI 1457188492 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 · 15893-33
1506 S ONEIDA ST, Appleton, WI 54915

Other Names 1

Former Name (1)Mikayla Ruth Honsa

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 and accepts Medicare assignment

Mikayla Ruth Petzke 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 ID2769918507
PECOS Enrollment IDI20241204000701
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Skilled Nursing Facility
1506 S ONEIDA ST
APPLETON, WI 54915
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Hospitalist
1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915
Neurological Surgery
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Anesthetist, Certified Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Speech-Language Pathologist
1506 S ONEIDA ST
APPLETON, WI 54915

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 Mikayla Petzke's NPI number?

The NPI number for Mikayla Petzke is 1457188492. It was assigned to this individual provider in the NPPES registry on September 16, 2024. The provider is also known as Mikayla Ruth Honsa.

Where is Mikayla Petzke located?

Mikayla Petzke practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 738-2000.

What is Mikayla Petzke's specialty?

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

Is Mikayla Petzke enrolled in Medicare?

Yes. Mikayla Petzke 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 Mikayla Petzke accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mikayla Petzke 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 Mikayla Petzke affiliated with any hospitals?

According to CMS data, Mikayla Petzke is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Mikayla Petzke was last updated on September 16, 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.