JOHN CONCEPCION FNP-BC
NPI 1457822058
Nurse Practitioner - Family in Milwaukee, WI

Active since December 08, 2018PECOS EnrolledAccepts Medicare Assignment
10200 W INNOVATION DR STE 400, MILWAUKEE, WI 53226(414) 944-2000(414) 944-2092 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 12, 2021, Dec 8, 2018 (2 updates tracked since 2018).

About John Concepcion Fnp-bc NPPES

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

JOHN CONCEPCION FNP-BC (NPI 1457822058) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (8908) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Thedacare Medical Center - Wild Rose, and maintains a secondary practice location in Oshkosh.

NPPES Registry Identity

NPI1457822058
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN CONCEPCIONCredential: FNP-BC
Location Address10200 W INNOVATION DR STE 400Milwaukee, WI 53226-4826
Mailing Address10200 W Innovation Dr Ste 400Milwaukee, WI 53226-4826 · (414) 944-2000 · Fax (414) 944-2092
Fax(414) 944-2092
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 8, 2018
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1457822058 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 · 8908
10200 W INNOVATION DR STE 400, Milwaukee, WI 53226

Secondary Practice Location 1

Location 14485 Ravine WayOshkosh, WI 54904-7150 · Phone (920) 203-5742

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

John Concepcion Fnp-bc 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 ID6800134750
PECOS Enrollment IDI20210317001165
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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
312 services213 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
230 services172 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
219 services219 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
211 services211 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
50 services50 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Medical Center - Wild Rose

Critical Access Hospitals · Wild Rose, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521303
Location601 Grove AveWild Rose, WI 54984 · Waushara County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Hospice Care, Community Based
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Nurse Practitioner (Family)
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Internal Medicine (Hospice and Palliative Medicine)
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Nurse Practitioner (Primary Care)
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Internal Medicine (Hospice and Palliative Medicine)
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Hospice Care, Community Based
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226
Nurse Practitioner (Family)
10200 W INNOVATION DR STE 400
MILWAUKEE, WI 53226

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 John Concepcion's NPI number?

The NPI number for John Concepcion is 1457822058. It was assigned to this individual provider in the NPPES registry on December 8, 2018.

Where is John Concepcion located?

John Concepcion practices at 10200 W Innovation Dr Ste 400, Milwaukee, WI 53226. The listed phone number is (414) 944-2000.

What is John Concepcion's specialty?

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

Is John Concepcion enrolled in Medicare?

Yes. John Concepcion 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 John Concepcion accept?

Health plans from Network Health, Security Health Plan and UnitedHealthcare list John Concepcion 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 John Concepcion affiliated with any hospitals?

According to CMS data, John Concepcion is affiliated with Thedacare Medical Center - Wild Rose.

When was this NPI record last updated?

The NPPES record for John Concepcion was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.