NANCY L AGUIRRE M.D.
NPI 1649235920
Obstetrics & Gynecology in Fort Atkinson, WI

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
650 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-8900(920) 563-0318 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy L Aguirre M.d. NPPES

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

NANCY L AGUIRRE M.D. (NPI 1649235920) is an individual obstetrics & gynecology provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (1319-TEP) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2004).

NPPES Registry Identity

NPI1649235920
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNANCY L AGUIRRECredential: M.D.
Location Address650 MCMILLEN STFort Atkinson, WI 53538-1275
Mailing Address650 Mcmillen StFort Atkinson, WI 53538-1275 · (920) 563-8900 · Fax (920) 563-0318
Fax(920) 563-0318
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1649235920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 1319-TEP
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 49257 (WI)
650 MCMILLEN ST, Fort Atkinson, WI 53538

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

Nancy L Aguirre M.d. 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 ID3375619018
PECOS Enrollment IDI20080904000277
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Nurse Practitioner
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Obstetrics & Gynecology
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Obstetrics & Gynecology
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Nurse Practitioner (Family)
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Obstetrics & Gynecology
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Nurse Practitioner (Women's Health)
650 MCMILLEN ST
FORT ATKINSON, WI 53538
Obstetrics & Gynecology
650 MCMILLEN ST
FORT ATKINSON, WI 53538

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 Nancy Aguirre's NPI number?

The NPI number for Nancy Aguirre is 1649235920. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Nancy Aguirre located?

Nancy Aguirre practices at 650 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-8900.

What is Nancy Aguirre's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nancy Aguirre enrolled in Medicare?

Yes. Nancy Aguirre 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 Nancy Aguirre accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Nancy Aguirre 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 Nancy Aguirre affiliated with any hospitals?

According to CMS data, Nancy Aguirre is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Aguirre was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.