DONALD J. DALEY JR. N.P.
NPI 1457682973
Nurse Practitioner in Sussex, WI

Active since January 22, 2010PECOS EnrolledAccepts Medicare Assignment
W227N6103 SUSSEX RD, SUSSEX, WI 53089(414) 566-8100(414) 566-8038 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Donald J. Daley Jr. N.p. NPPES

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

DONALD J. DALEY JR. N.P. (NPI 1457682973) is an individual nurse practitioner in Sussex, Wisconsin, licensed in Wisconsin (3855) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457682973
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDONALD J. DALEY JR.Credential: N.P.
Location AddressW227N6103 SUSSEX RDSussex, WI 53089-3969
Mailing AddressW227n6103 Sussex RdSussex, WI 53089-3969 · (414) 566-8100 · Fax (414) 566-8038
Fax(414) 566-8038
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 22, 2010
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1457682973 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 · 3855
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.
W227N6103 SUSSEX RD, Sussex, WI 53089

Other Identifiers 1

Medicaid100029375WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald J. Daley Jr. N.p. 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 ID6901045210
PECOS Enrollment IDI20130618000373
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

5

Medicare enrollment records show Donald Daley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group

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 53089 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
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Pharmacist
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Pharmacist
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Physician Assistant
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Dietitian, Registered
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Physical Therapist
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Registered Nurse (Diabetes Educator)
W227N6103 SUSSEX RD
SUSSEX, WI 53089
Registered Nurse (Diabetes Educator)
W227N6103 SUSSEX RD
SUSSEX, WI 53089

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 Donald Daley's NPI number?

The NPI number for Donald Daley is 1457682973. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Donald Daley located?

Donald Daley practices at W227n6103 Sussex Rd, Sussex, WI 53089. The listed phone number is (414) 566-8100.

What is Donald Daley's specialty?

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

Is Donald Daley enrolled in Medicare?

Yes. Donald Daley 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.

Which organizations bill Medicare for Donald Daley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Daley reassigns Medicare benefits to 5 organizations: Aurora Medical Group, Inc. (West Allis, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Donald Daley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Daley accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Donald Daley 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 Donald Daley was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.