MONICA S SZYMANSKI APNP
NPI 1609303023
Nurse Practitioner in Appleton, WI

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
2400 E CAPITOL DR, APPLETON, WI 54911(920) 731-4101(920) 738-6400 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2023, Nov 28, 2018, Nov 19, 2018 and 2 more (5 updates tracked since 2017).

About Monica S Szymanski Apnp NPPES

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

MONICA S SZYMANSKI APNP (NPI 1609303023) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (7576) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Berlin.

NPPES Registry Identity

NPI1609303023
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONICA S SZYMANSKICredential: APNP
Location Address2400 E CAPITOL DRAppleton, WI 54911-8728
Mailing Address2400 E Capitol DrAppleton, WI 54911-8728 · (920) 831-5050 · Fax (920) 738-6400
Fax(920) 738-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2017
Last NPPES UpdateMay 3, 20235 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1609303023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 7576
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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 7576 (WI)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 7576 (WI)
2400 E CAPITOL DR, Appleton, WI 54911

Other Names 1

Former Name (1)Monica S Albert

Secondary Practice Location 1

Location 1191 Memorial DrBerlin, WI 54923-1241 · Phone (920) 831-5050 · Fax (920) 738-6400

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

Monica S Szymanski Apnp 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 ID9537431267
PECOS Enrollment IDI20170816000036
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services36 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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.

Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Medicine & Rehabilitation
2400 E CAPITOL DR
APPLETON, WI 54911
Physician Assistant (Surgical)
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2400 E CAPITOL DR
APPLETON, WI 54911
Physician Assistant
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911

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 Monica Szymanski's NPI number?

The NPI number for Monica Szymanski is 1609303023. It was assigned to this individual provider in the NPPES registry on May 16, 2017. The provider is also known as Monica S Albert.

Where is Monica Szymanski located?

Monica Szymanski practices at 2400 E Capitol Dr, Appleton, WI 54911. The listed phone number is (920) 731-4101.

What is Monica Szymanski's specialty?

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

Is Monica Szymanski enrolled in Medicare?

Yes. Monica Szymanski 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 Monica Szymanski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Monica Szymanski 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 Monica Szymanski affiliated with any hospitals?

According to CMS data, Monica Szymanski is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Monica Szymanski was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.