JOLINE BROTZMAN MS, RN, PMHCNS-BC
NPI 1578813606
Nurse Practitioner - Psychiatric/Mental Health in Fond Du Lac, WI

Q: What is Joline Brotzman's NPI number?

The NPI number for Joline Brotzman is 1578813606. It was assigned to this individual provider in the NPPES registry on September 17, 2012. The provider is also known as Joline Michelle Levanetz Ms, Pmhnp-Bc, Apnp.

Q: What is Joline Brotzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Joline Brotzman was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment

459 E 1ST ST, FOND DU LAC, WI 54935(920) 922-3324(920) 929-3129 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Aug 26, 2019, Oct 23, 2018 and 1 more (4 updates tracked since 2017).

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About Joline Brotzman Ms, Rn, Pmhcns-bc NPPES

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

JOLINE BROTZMAN MS, RN, PMHCNS-BC (NPI 1578813606) is an individual psychiatric/mental health provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (5048-33) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1578813606

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJOLINE BROTZMANCredential: MS, RN, PMHCNS-BC

Location Address459 E 1ST STFond Du Lac, WI 54935-4505

Mailing Address298 E 1st StFond Du Lac, WI 54935-4357 · (920) 315-3922 · Fax (920) 214-1076

Phone(920) 922-3324

Fax(920) 929-3129

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 17, 2012

Last NPPES UpdateMay 7, 20244 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1578813606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 5048-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5048-33 (WI)

459 E 1ST ST, Fond Du Lac, WI 54935

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Other Names 1

Former Name (1)Joline Michelle Levanetz Ms, Pmhnp-bc, Apnp

Secondary Practice Location 1

Location 1298 E 1st StFond Du Lac, WI 54935-4357 · Phone (920) 315-3922 · Fax (920) 214-1076

Other Identifiers 2

Medicaid100084008WI

Medicaid100026161WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.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

Joline Brotzman Ms, Rn, Pmhcns-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 ID3577714765

PECOS Enrollment IDI20121116000243

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

216 services56 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

20 services11 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

JENNA R PIEPER

Counselor (Addiction (Substance Use Disorder))