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ABRA SEIDLER
NPI 1689063950
Nurse Practitioner - Psychiatric/Mental Health in Appleton, WI

Active since January 09, 2015PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
1531 S MADISON ST, APPLETON, WI 54915(920) 730-4411 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2021, Jun 20, 2018, Apr 21, 2017 (3 updates tracked since 2017).

About Abra Seidler NPPES

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

ABRA SEIDLER (NPI 1689063950) is an individual psychiatric/mental health provider in Appleton, Wisconsin, licensed in Wisconsin (167888) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689063950
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABRA SEIDLER
Location Address1531 S MADISON STAppleton, WI 54915
Mailing Address1531 S Madison StAppleton, WI 54915-1800 · (920) 730-4411
Phone(920) 730-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 9, 2015
Last NPPES UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1689063950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 167888
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6095 (WI)
1531 S MADISON ST, Appleton, WI 54915
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health.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

Abra Seidler 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 ID3476873878
PECOS Enrollment IDI20150527001142
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 Reassignment

Medicare enrollment records show Abra Seidler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Fox Valley Wisconsin, Inc
5.2 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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 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.

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.
121 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
52%178 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
46%310 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
2%43 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%259 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 13% · 160 patients
Patients 4MonthsOfStart: 9% · 171 patients
11%184 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
10%1,482 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%5,099 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
14%85 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%702 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
24%131 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 453 patients
Patients tobacco: 30% · 120 patients
78%453 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%702 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
23%702 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%702 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KAILIE BECK ANPN, FNP-C
Nurse Practitioner (Family)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 738-2000
MS. MICHELLE KENNEDY COENEN MS
Social Worker (Clinical)
1531 S MADISON ST, STE 550
APPLETON, WI 54915
Calumet County (920) 738-2700
ANNEMARIE UPHUS APNP, PMHNP-BC, CNM
Nurse Practitioner
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
DEBRA L. FRANCIOSI APNP
Nurse Practitioner (Psychiatric/Mental Health)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
JENNIFER L CASTRO SAC
Counselor (Addiction (Substance Use Disorder))
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 831-8437
THOMAS G HOEFT D.O.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700
CHRISTOPHER W WAGENER MD
Obstetrics & Gynecology
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4413
DR. LEE W HASH M.D.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700

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 Abra Seidler's NPI number?

The NPI number for Abra Seidler is 1689063950. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Abra Seidler located?

Abra Seidler practices at 1531 S Madison St, Appleton, WI 54915. The listed phone number is (920) 730-4411.

What is Abra Seidler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Abra Seidler enrolled in Medicare?

Yes. Abra Seidler 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 Abra Seidler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abra Seidler reassigns Medicare benefits to Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, 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 Abra Seidler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abra Seidler accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Abra Seidler 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 Abra Seidler affiliated with any hospitals?

According to CMS data, Abra Seidler is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Abra Seidler was last updated on April 23, 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.