THERESA L HOLLNAGEL PA-C
NPI 1770547333
Physician Assistant - Surgical in Fond Du Lac, WI

Q: What is Theresa Hollnagel's NPI number?

The NPI number for Theresa Hollnagel is 1770547333. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is Theresa Hollnagel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Hollnagel was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8495 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 24, 2023, Feb 11, 2021 (2 updates tracked since 2021).

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About Theresa L Hollnagel Pa-c NPPES

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

THERESA L HOLLNAGEL PA-C (NPI 1770547333) is an individual surgical provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (1388) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770547333

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTHERESA L HOLLNAGELCredential: PA-C

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing AddressSsm Health Fdl Regional Clinic, 1808 W Beltline HwyMadison, WI 53713-2334 · (920) 926-8343

Phone(920) 926-8495

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 12, 2006

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1770547333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in WI · 1388✔ Licensed in WI · 100129

420 E DIVISION ST, Fond Du Lac, WI 54935

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Accepted Insurance

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

Theresa L Hollnagel Pa-c 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 ID6204966609

PECOS Enrollment IDI20100610001153

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 5

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 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.

69 services58 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.

41 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

26 services22 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.

22 services21 patients

Hospital Affiliations CMS Care Compare 4

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521321

Location845 Parkside StRipon, WI 54971 · Fond Du Lac County

Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

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.

77.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

9 suppliers92 claims196 services$9.04 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

3 suppliers18 claims350 services$2.77 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

3 suppliers17 claims18 services$6.96 avg. paid by Medicare

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each A4392

DME-Orthotic Devices · category DF010N

2 suppliers15 claims300 services$7.89 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

4 suppliers15 claims370 services$8.44 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

6 suppliers56 claims930 services$5.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARY R KELM NP

Nurse Practitioner