JAKE DEGROOT RN, MSN, FNP
NPI 1669229720
Nurse Practitioner in Appleton, WI
About Jake Degroot Rn, Msn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE DEGROOT RN, MSN, FNP (NPI 1669229720) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (15326-33) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jake Degroot Rn, Msn, Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Degroot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center - Shawano
Critical Access Hospitals · Shawano, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
APPLETON, WI 54911
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 Jake Degroot's NPI number?
The NPI number for Jake Degroot is 1669229720. It was assigned to this individual provider in the NPPES registry on May 6, 2024.
Where is Jake Degroot located?
Jake Degroot practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-8900.
What is Jake Degroot's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jake Degroot enrolled in Medicare?
Yes. Jake Degroot 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.
Which organization bills Medicare for Jake Degroot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Degroot reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). 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 Jake Degroot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Degroot accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jake Degroot 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 Jake Degroot affiliated with any hospitals?
According to CMS data, Jake Degroot is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.
When was this NPI record last updated?
The NPPES record for Jake Degroot was last updated on May 6, 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.
# Jake Degroot, RN, MSN, FNP · NPI 1669229720
Nurse Practitioner physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1669229720 (Entity type: Individual)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 15326-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1818 N MEADE ST, Appleton, WI 54911-3454
- **Phone:** (920) 731-8900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669229720) · Data from the CMS NPPES public registry.