ANDREA MARIE SMITS APNP
NPI 1811410152
Nurse Practitioner - Family in Waupun, WI

Q: What is Andrea Smits's NPI number?

The NPI number for Andrea Smits is 1811410152. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Q: What is Andrea Smits's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Smits was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 19, 2017PECOS EnrolledAccepts Medicare Assignment

620 W BROWN ST, WAUPUN, WI 53963(920) 324-6800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 23, 2020, Jul 19, 2017 (3 updates tracked since 2017).

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About Andrea Marie Smits Apnp NPPES

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

ANDREA MARIE SMITS APNP (NPI 1811410152) is an individual family provider in Waupun, Wisconsin, licensed in Wisconsin (7788-33) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Waupun Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811410152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA MARIE SMITSCredential: APNP

Location Address620 W BROWN STWaupun, WI 53963-1702

Mailing Address620 W Brown StWaupun, WI 53963-1702 · (920) 324-6800

Phone(920) 324-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 19, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1811410152 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 · 7788-33

620 W BROWN ST, Waupun, WI 53963

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Accepted Insurance

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

Andrea Marie Smits 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 ID8123392750

PECOS Enrollment IDI20170921000070

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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services21 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.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53963 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.

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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.

JACE LACHAPELLE DPT

Physical Therapist