COLLEEN D DUVAL APNP
Accepted Insurance for NPI 1659695708
Nurse Practitioner in Appleton, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
COLLEEN D DUVAL APNP, a nurse practitioner provider in Appleton, WI, is listed as in-network for 66 health insurance plans from 4 insurance companies, led by CareSource (Common Ground Healthcare), Network Health and Aspirus Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Aspirus Health Plan
HMO Bronze $0 Medical Deductible
HMO Bronze 10000
HMO Bronze 7500
HMO Catastrophic 10600 with 3 free PCP visits
HMO Gold 2000
HMO Gold 2700
HMO HDHP Silver 5900
HMO Silver 6000
HMO Silver 6600
POS Bronze 7500
POS Bronze 8500
POS Silver 6000
CareSource (Common Ground Healthcare)
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam
CareSource (Common Ground Healthcare) Bronze Standard $7500
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam
CareSource (Common Ground Healthcare) Gold $0 Ded
CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam
CareSource (Common Ground Healthcare) Gold $3300
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam
CareSource (Common Ground Healthcare) Gold Standard $2000
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam
CareSource (Common Ground Healthcare) Silver Standard $6000
Network Health
Prestige Bronze $0 Medical Deductible + Dental + Vision
Prestige Bronze $0 Medical Deductible + Dental +Vision
Prestige Bronze $0 Medical Deductible
Prestige Bronze Essential + 3 Free PCP Visits
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits
Prestige Bronze Plus
Prestige Gold 50 + 1 Free PCP Visit
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit
Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit
Prestige Gold Essential + 3Free PCP Visits
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits
Prestige Gold
Prestige Silver Essential + 3 Free PCP Visits
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits
Prestige Silver
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does COLLEEN D DUVAL APNP accept?
Marketplace files for the 2026 plan year list COLLEEN D DUVAL APNP as in-network for 66 plans from 4 insurance companies. The largest networks are CareSource (Common Ground Healthcare) (18 plans), Network Health (15 plans), Aspirus Health Plan (12 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is COLLEEN D DUVAL APNP enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does COLLEEN D DUVAL APNP participate in?
The accepted plans include 24 HMO plans, 18 EPO plans and 12 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
