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ANDREA PANKRATZ WHNP-BC
NPI 1669739025
Nurse Practitioner - Women's Health in Madison, WI

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
1313 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7354 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Andrea Pankratz Whnp-bc NPPES

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

ANDREA PANKRATZ WHNP-BC (NPI 1669739025) is an individual women's health provider in Madison, Wisconsin, licensed in Wisconsin (156864-30) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669739025
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameANDREA PANKRATZCredential: WHNP-BC
Location Address1313 FISH HATCHERY RDMadison, WI 53715-1911
Mailing Address1313 Fish Hatchery RdMadison, WI 53715-1911 · (608) 252-8000 · Fax (608) 283-7354
Phone(608) 252-8000
Fax(608) 283-7354
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 23, 2012
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1669739025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WI · 156864-30
1313 FISH HATCHERY RD, Madison, WI 53715
Open in Google Maps ↗

Other Identifiers 1

Medicaid391052077WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.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

Andrea Pankratz Whnp-bc 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 ID2567762321
PECOS Enrollment IDI20161020000645
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 Reassignments

2

Medicare enrollment records show Andrea Pankratz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fort Healthcare, Inc.
30 mi
General Acute Care Hospital
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1811916281 (920) 568-5000
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
65 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

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.

BRIAN J APEL
Pharmacist
1313 FISH HATCHERY RD, SUITE 300
MADISON, WI 53715
Dane County (608) 252-8044
ANN HERROLD-PETERSON LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
MRS. JAN LOUISE BASOM SCHUBERT MA
Social Worker (Clinical)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
ERIC HUCKINS PHARMD
Pharmacist
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 294-3784
JOAN V. BROWN PA-C
Physician Assistant
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
RUSSELL G ROHRDANZ AUD
Audiologist
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
LINDA WILHELMI LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
PAUL M REBER DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000

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 Andrea Pankratz's NPI number?

The NPI number for Andrea Pankratz is 1669739025. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Andrea Pankratz located?

Andrea Pankratz practices at 1313 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Andrea Pankratz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Andrea Pankratz enrolled in Medicare?

Yes. Andrea Pankratz 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 organizations bill Medicare for Andrea Pankratz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Pankratz reassigns Medicare benefits to 2 organizations: Fort Healthcare, Inc. (Fort Atkinson, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). Each 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 Andrea Pankratz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Pankratz accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 1 other insurer list Andrea Pankratz 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 Andrea Pankratz affiliated with any hospitals?

According to CMS data, Andrea Pankratz is affiliated with Fort Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Pankratz was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.