1. Home
  2. Directory
  3. Wisconsin
  4. Wild Rose
  5. Nurse Practitioner
  6. NPI Profile

MRS. SUSAN MELISSA PIECHOWSKI APNP
NPI 1639508724
Nurse Practitioner - Family in Wild Rose, WI

Active since November 08, 2013PECOS Enrolled
701 GROVE AVE, WILD ROSE, WI 54984(920) 622-5560(920) 622-6021 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Susan Melissa Piechowski Apnp NPPES

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

MRS. SUSAN MELISSA PIECHOWSKI APNP (NPI 1639508724) is an individual family provider in Wild Rose, Wisconsin, licensed in Wisconsin (5514-33) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639508724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN MELISSA PIECHOWSKICredential: APNP
Location Address701 GROVE AVEWild Rose, WI 54984-6901
Mailing AddressN1798 County Road ZWautoma, WI 54982-7300 · (920) 622-5560 · Fax (920) 622-6021
Phone(920) 622-5560
Fax(920) 622-6021
Sole ProprietorNo
Enumeration DateNovember 8, 2013
✔ NPI 1639508724 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
License✔ Licensed in WI · 5514-33
701 GROVE AVE, Wild Rose, WI 54984
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Susan Melissa Fortisi

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Melissa Piechowski Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Susan Piechowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
878 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Wisconsin enrollment
  • 303 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54984 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GILBERT D. STEFFANIDES MD
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-6017
RICHARD A KIRALY NP
Nurse Practitioner
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-6017
TERESITA ROMANA MD
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-5560
MICHAEL R STAUDINGER MD
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-5560
DR. VERONA MAIERHOFER ITTIARA M.D.
Emergency Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-3257
GREGORY HARLEY PA
Physician Assistant
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-5560
VICTORIA ROBYN LOIS PA-C
Physician Assistant
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-5560
THEDACARE MEDICAL CENTER - WILD ROSE, INC
Non-Pharmacy Dispensing Site
701 GROVE AVE
WILD ROSE, WI 54984
Waushara County (920) 622-6013

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 Susan Piechowski's NPI number?

The NPI number for Susan Piechowski is 1639508724. It was assigned to this individual provider in the NPPES registry on November 8, 2013. The provider is also known as Miss Susan Melissa Fortisi.

Where is Susan Piechowski located?

Susan Piechowski practices at 701 Grove Ave, Wild Rose, WI 54984. The listed phone number is (920) 622-5560.

What is Susan Piechowski's specialty?

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

Is Susan Piechowski enrolled in Medicare?

Yes. Susan Piechowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Piechowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Piechowski reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Susan Piechowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Piechowski accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Susan Piechowski 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.

When was this NPI record last updated?

The NPPES record for Susan Piechowski was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.