LISA R THILTGEN APRN
NPI 1609455591
Nurse Practitioner - Family in Appleton, WI

Q: What is Lisa Thiltgen's NPI number?

The NPI number for Lisa Thiltgen is 1609455591. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Lisa Thiltgen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Thiltgen was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 April 07, 2021PECOS EnrolledAccepts Medicare Assignment

2575 E EVERGREEN DR, APPLETON, WI 54913(920) 404-2240(920) 404-2229 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2022, Apr 21, 2021, Apr 7, 2021 (3 updates tracked since 2021).

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About Lisa R Thiltgen Aprn NPPES

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

LISA R THILTGEN APRN (NPI 1609455591) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (11786-33) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1609455591

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA R THILTGENCredential: APRN

Location Address2575 E EVERGREEN DRAppleton, WI 54913-8910

Mailing AddressN9224 Constellation DrAppleton, WI 54915 · (630) 247-3385

Phone(920) 404-2240

Fax(920) 404-2229

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2021

Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1609455591 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

Licenses✔ Licensed in WI · 11786-33✔ Licensed in IL · 209022574

2575 E EVERGREEN DR, Appleton, WI 54913

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Secondary Practice Location 1

Location 13329 N Richmond StAppleton, WI 54911-1063 · Phone (920) 380-2715

Other Identifiers 1

Medicaid100209638WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa R Thiltgen Aprn 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 ID5496164618

PECOS Enrollment IDI20220914000575

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Thiltgen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Fox Valley Wisconsin, Inc

9.3 mi

Multi-Specialty

101 MAIN ST
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
444 clinicians in this Medicare group

NPI 1730126392 (920) 727-4200

Door County Memorial Hospital

62 mi

Critical Access

323 S 18TH AVE
Sturgeon Bay, WI 54235

Reassigned Medicare billing, Wisconsin enrollment
131 clinicians in this Medicare group

NPI 1093743874 (920) 743-5566

Emergency Medicine Specialists, S.C.

86 mi

Emergency Medicine

10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Emergency Medicine Specialists Sc
244 clinicians in this Medicare group

NPI 1568413524 (414) 877-5350

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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

59 services59 patients

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.

57 services55 patients

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.

54 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

KALYN MAHONEY CPNP-AC

Nurse Practitioner