ANNESSA F RETLICK N.P.
NPI 1528372828
Nurse Practitioner in Kenosha, WI
About Annessa F Retlick N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNESSA F RETLICK N.P. (NPI 1528372828) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (154719-30) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Annessa F Retlick 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.
Medicare Billing Reassignment
Medicare enrollment records show Annessa Retlick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pleasant Prairie, WI 53158
- Reassigned Medicare billing, Wisconsin enrollment
- 104 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
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 Annessa Retlick's NPI number?
The NPI number for Annessa Retlick is 1528372828. It was assigned to this individual provider in the NPPES registry on July 29, 2010. The provider is also known as Annessa F Laudonio N.P..
Where is Annessa Retlick located?
Annessa Retlick practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (414) 290-6720.
What is Annessa Retlick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Annessa Retlick enrolled in Medicare?
Yes. Annessa Retlick 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 organization bills Medicare for Annessa Retlick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annessa Retlick reassigns Medicare benefits to Vituity-Wisconsin Em Sc (Pleasant Prairie, WI). The 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 Annessa Retlick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Annessa Retlick was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Annessa F Retlick, N.P. · NPI 1528372828
Nurse Practitioner physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since July 29, 2010.
## Identity
- **NPI:** 1528372828 (Entity type: Individual)
- **Enumerated:** July 29, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 154719-30 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6308 8TH AVE, Kenosha, WI 53143-5031
- **Phone:** (414) 290-6720 · **Fax:** (414) 290-6755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vituity-Wisconsin Em Sc (NPI 1326730664, Pleasant Prairie, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 27, 2021
- **Other identifiers:** Other P00940026 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1528372828) · Data from the CMS NPPES public registry.