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PHILIP W DIPERNA N.P.
NPI 1508306671
Nurse Practitioner in Mequon, WI

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
13111 N PORT WASHINGTON RD, MEQUON, WI 53097(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip W Diperna N.p. NPPES

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

PHILIP W DIPERNA N.P. (NPI 1508306671) is an individual nurse practitioner in Mequon, Wisconsin, licensed in Wisconsin (7597-33) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508306671
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePHILIP W DIPERNACredential: N.P.
Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416
Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2017
Last NPPES UpdateApril 3, 2017
✔ NPI 1508306671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WI · 7597-33✔ Licensed in WI · 195687-30
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.
13111 N PORT WASHINGTON RD, Mequon, WI 53097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Philip W Diperna 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 ID345526315
PECOS Enrollment IDI20170406001639
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services84 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
81 services76 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
83%42 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VICTORIA JANE LEPOLD
Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
MRS. KIM ANN GLASER MS CCC-SLP
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5757
LAURA ALAR R.PH.
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7342
EDWIN BACALSO
Social Worker (Clinical)
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097
Ozaukee County (262) 243-6127
JANET SUSAN INGOLD PTA
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. ELIZABETH SHEPLER CRNA
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7408
INFINITY HEALTHCARE PHYSICIANS, S.C.
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Ozaukee County (414) 290-6718

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 Philip Diperna's NPI number?

The NPI number for Philip Diperna is 1508306671. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Philip Diperna located?

Philip Diperna practices at 13111 N Port Washington Rd, Mequon, WI 53097. The listed phone number is (414) 290-6720.

What is Philip Diperna's specialty?

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

Is Philip Diperna enrolled in Medicare?

Yes. Philip Diperna 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 Philip Diperna accept?

Health plans from CareSource (Common Ground Healthcare) list Philip Diperna 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 Philip Diperna affiliated with any hospitals?

According to CMS data, Philip Diperna is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Diperna was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.