JANESSA M. PAFFORD NP
NPI 1801372511
Nurse Practitioner in Monroe, WI

Q: What is Janessa Pafford's NPI number?

The NPI number for Janessa Pafford is 1801372511. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Q: What is Janessa Pafford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janessa Pafford was last updated on October 26, 2022. 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.

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment

515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Dec 23, 2020, Sep 6, 2018 and 2 more (5 updates tracked since 2018).

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About Janessa M. Pafford Np NPPES

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

JANESSA M. PAFFORD NP (NPI 1801372511) is an individual nurse practitioner in Monroe, Wisconsin, licensed in Wisconsin (8666-33) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801372511

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJANESSA M. PAFFORDCredential: NP

Location Address515 22ND AVEMonroe, WI 53566-1569

Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000 · Fax (608) 324-2009

Phone(608) 324-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 16, 2018

Last NPPES UpdateOctober 26, 20225 updates tracked since enumeration

NPPES CertifiedOctober 26, 2022

✔ NPI 1801372511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8666-33

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 NurseTaxonomy 163W00000X · License 176020-30 (WI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 8666 (WI)

515 22ND AVE, Monroe, WI 53566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Janessa M. Pafford Np 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 ID9436400843

PECOS Enrollment IDI20180925001293, I20221005003495

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.

185 services122 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

74 services74 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

71 services71 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.

46 services44 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.

21 services21 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.

17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520028

Location515 22nd AveMonroe, WI 53566 · Green County

Emergency services Birthing friendly

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521312

Location800 Clay StDarlington, WI 53530 · Lafayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53566 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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604