HEIDI CAPODARCO APNP
NPI 1669992004
Nurse Practitioner in Pleasant Prairie, WI

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 656-3313(262) 653-5850 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2017, Jun 27, 2017 (2 updates tracked since 2017).

About Heidi Capodarco Apnp NPPES

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

HEIDI CAPODARCO APNP (NPI 1669992004) is an individual nurse practitioner in Pleasant Prairie, Wisconsin, licensed in Wisconsin (7864-33) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669992004
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEIDI CAPODARCOCredential: APNP
Location Address9555 76TH STPleasant Prairie, WI 53158-1984
Mailing Address6308 8th Avenue, Medical Staff OfficeKenosah, WI 53143-5031 · (262) 656-3313 · Fax (262) 653-5850
Fax(262) 653-5850
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2017
Last NPPES UpdateAugust 25, 20172 updates tracked since enumeration
NPI 1669992004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 7864-33
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 131503 (WI)
9555 76TH ST, Pleasant Prairie, WI 53158

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

Heidi Capodarco Apnp 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 ID7315213501
PECOS Enrollment IDI20171016000845
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services13 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 services13 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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.

Family Medicine
9555 76TH ST, SUITE 2602
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9555 76TH ST, SUITE 2620
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST, SUITE 2620
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Obstetrics & Gynecology (Gynecology)
9555 76TH ST, SUITE 4105
PLEASANT PRAIRIE, WI 53158
Pediatrics
9555 76TH ST, SUITE 4106
PLEASANT PRAIRIE, WI 53158

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 Heidi Capodarco's NPI number?

The NPI number for Heidi Capodarco is 1669992004. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Heidi Capodarco located?

Heidi Capodarco practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 656-3313.

What is Heidi Capodarco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heidi Capodarco enrolled in Medicare?

Yes. Heidi Capodarco 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 Heidi Capodarco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Heidi Capodarco 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 Heidi Capodarco affiliated with any hospitals?

According to CMS data, Heidi Capodarco is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Heidi Capodarco was last updated on August 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.