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VALERIE VERBIST APNP
NPI 1811339468
Nurse Practitioner - Family in Tomahawk, WI

Active since July 24, 2013PECOS EnrolledAccepts Medicare Assignment
81.06/100
CMS Quality Rating
401 W MOHAWK DR, TOMAHAWK, WI 54487(715) 453-7200 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valerie Verbist Apnp NPPES

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

VALERIE VERBIST APNP (NPI 1811339468) is an individual family provider in Tomahawk, Wisconsin, licensed in Wisconsin (5348) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Aspirus Iron River Hospital & Clinics, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811339468
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE VERBISTCredential: APNP
Location Address401 W MOHAWK DRTomahawk, WI 54487-2274
Mailing Address401 W Mohawk DrTomahawk, WI 54487-2274
Phone(715) 453-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 24, 2013
✔ NPI 1811339468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 5348
401 W MOHAWK DR, Tomahawk, WI 54487
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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, Aspirus Health Plan, HealthPartners and more.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

Valerie Verbist 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 ID9638304975
PECOS Enrollment IDI20131023000240
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 4

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.
267 services231 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.
92 services92 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.
57 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231318
Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County
Emergency services

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54487 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.

81.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Promoting Interoperability99
Improvement Activities40
Cost49.62

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE LUCAS RN
Registered Nurse
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7782
JOSHUA DREW ICE LAT
Specialist/Technologist (Athletic Trainer)
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7725
EILEEN A EMOND SLP
Speech-Language Pathologist
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7740
CHRISTOPHER ROBERT ORGEMAN A.T.C.
Specialist/Technologist (Athletic Trainer)
401 W MOHAWK DR, SUITE 100
TOMAHAWK, WI 54487
Lincoln County (715) 453-7740
RONALD CORTTE MD
Family Medicine
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7200
DANIELLE MARIE POLEGA NP-C
Nurse Practitioner (Family)
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7700
ABIGAIL ALFT PA
Physician Assistant
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7200
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Clinic/Center (Rural Health)
401 W MOHAWK DR
TOMAHAWK, WI 54487
Lincoln County (715) 453-7200

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 Valerie Verbist's NPI number?

The NPI number for Valerie Verbist is 1811339468. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Valerie Verbist located?

Valerie Verbist practices at 401 W Mohawk Dr, Tomahawk, WI 54487. The listed phone number is (715) 453-7200.

What is Valerie Verbist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Valerie Verbist enrolled in Medicare?

Yes. Valerie Verbist 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 Valerie Verbist accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Valerie Verbist 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 Valerie Verbist affiliated with any hospitals?

According to CMS data, Valerie Verbist is affiliated with Aspirus Iron River Hospital & Clinics, Inc, Aspirus Ironwood Hospital, Aspirus Rhinelander Hospital, Howard Young Medical Center and Aspirus Eagle River Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Verbist was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.