MRS. COLLEEN M GUMM APNP
NPI 1750603114
Nurse Practitioner - Adult Health in Sheboygan, WI

Active since February 25, 2010PECOS EnrolledAccepts Medicare Assignment
1414 N TAYLOR DR, SUITE 144, SHEBOYGAN, WI 53081(920) 457-4400 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Nov 12, 2021 (2 updates tracked since 2021).

About Mrs. Colleen M Gumm Apnp NPPES

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

MRS. COLLEEN M GUMM APNP (NPI 1750603114) is an individual adult health provider in Sheboygan, Wisconsin, licensed in Wisconsin (3970-033) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750603114
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. COLLEEN M GUMMCredential: APNP
Location Address1414 N TAYLOR DR, SUITE 144Sheboygan, WI 53081-1988
Mailing AddressW129n7055 Northfield DrMenomonee Falls, WI 53051-0538 · (262) 253-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 25, 2010
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1750603114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in WI · 3970-033
1414 N TAYLOR DR, Sheboygan, WI 53081

Other Names 1

Former Name (1)Colleen Conway Apnp

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

Mrs. Colleen M Gumm 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 ID6406031301
PECOS Enrollment IDI20110419000426
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 6

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.
79 services61 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.
67 services56 patients
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.
65 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
22 services21 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

Internal Medicine (Cardiovascular Disease)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Occupational Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Physical Therapist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Physical Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Nurse Practitioner
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Optometrist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Dermatology
1414 N TAYLOR DR, SUITE 144
SHEBOYGAN, WI 53081

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 Colleen Gumm's NPI number?

The NPI number for Colleen Gumm is 1750603114. It was assigned to this individual provider in the NPPES registry on February 25, 2010. The provider is also known as Colleen Conway Apnp.

Where is Colleen Gumm located?

Colleen Gumm practices at 1414 N Taylor Dr Suite 144, Sheboygan, WI 53081. The listed phone number is (920) 457-4400.

What is Colleen Gumm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Colleen Gumm enrolled in Medicare?

Yes. Colleen Gumm 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 Colleen Gumm accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Colleen Gumm 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 Colleen Gumm was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.