JENNIFER DEPAGTER CRNA
NPI 1669012845
Nurse Anesthetist, Certified Registered in West Bend, WI

Q: What is Jennifer Depagter's NPI number?

The NPI number for Jennifer Depagter is 1669012845. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Q: What is Jennifer Depagter's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Depagter was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 15, 2020Accepts Medicare Assignment

3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 836-7300(262) 836-7301 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2024, Jan 15, 2020 (2 updates tracked since 2020).

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About Jennifer Depagter Crna NPPES

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

JENNIFER DEPAGTER CRNA (NPI 1669012845) is an individual nurse anesthetist, certified registered in West Bend, Wisconsin, licensed in Wisconsin (11577) and active in the NPI registry since January 2020. She is affiliated with Froedtert Memorial Lutheran Hospital, maintains a secondary practice location in West Bend, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669012845

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJENNIFER DEPAGTERCredential: CRNA

Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274

Mailing Address3200 Pleasant Valley RdWest Bend, WI 53095-9274 · (262) 836-7300 · Fax (262) 836-7301

Phone(262) 836-7300

Fax(262) 836-7301

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 15, 2020

Last NPPES UpdateMay 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1669012845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in WI · 11577✔ Licensed in MN · 2417

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3200 PLEASANT VALLEY RD, West Bend, WI 53095

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Secondary Practice Location 1

Location 13212 Pleasant Valley RdWest Bend, WI 53095-9274 · Phone (262) 334-6165 · Fax (262) 334-1658

Other Identifiers 1

Medicaid1669012845WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Jennifer Depagter Crna 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 ID5991131096

PECOS Enrollment IDI20230801002428

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI

OwnershipPhysician

CMS Certification Number520194

Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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.

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.

ABDEL HAI ISMAIL ALQWASMI M.D

Internal Medicine (Hematology & Oncology)

3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095

Washington County (262) 836-7200

MARY OGNENOFF OTR

Occupational Therapist