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MRS. SALLY ANN MAROHN AGPCNP-BC
NPI 1720415581
Nurse Practitioner in Neenah, WI

Active since October 10, 2013PECOS Enrolled
87.31/100
CMS Quality Rating
100 N MAIN ST, NEENAH, WI 54956(920) 223-7370 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Apr 10, 2023, Apr 28, 2022 (3 updates tracked since 2022).

About Mrs. Sally Ann Marohn Agpcnp-bc NPPES

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

MRS. SALLY ANN MAROHN AGPCNP-BC (NPI 1720415581) is an individual nurse practitioner in Neenah, Wisconsin, licensed in Wisconsin (5478-33) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720415581
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SALLY ANN MAROHNCredential: AGPCNP-BC
Location Address100 N MAIN STNeenah, WI 54956
Mailing Address100 N Main St, Ascension Nursing Home ServicesNeenah, WI 54956 · (920) 223-7370
Phone(920) 223-7370
Sole ProprietorNo
Enumeration DateOctober 10, 2013
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1720415581 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 · 5478-33
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 ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5478-33 (WI)
100 N MAIN ST, Neenah, WI 54956
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Other Names 1

Former Name (1)Sally Ann Chezem Apnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sally Ann Marohn Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sally Marohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare Inc
28 mi
Family Medicine
420 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1730162991 (920) 923-7400

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
68 services25 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
46 services21 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.71
Promoting Interoperability98
Improvement Activities40
Cost39.33

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 Sally Marohn's NPI number?

The NPI number for Sally Marohn is 1720415581. It was assigned to this individual provider in the NPPES registry on October 10, 2013. The provider is also known as Sally Ann Chezem Apnp.

Where is Sally Marohn located?

Sally Marohn practices at 100 N Main St, Neenah, WI 54956. The listed phone number is (920) 223-7370.

What is Sally Marohn's specialty?

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

Is Sally Marohn enrolled in Medicare?

Yes. Sally Marohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Marohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Marohn reassigns Medicare benefits to Agnesian Healthcare Inc (Fond Du Lac, 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 Sally Marohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Marohn accept?

Health plans from Dean Health Plan list Sally Marohn 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.

When was this NPI record last updated?

The NPPES record for Sally Marohn was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.