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CLARE A CULLEN APNP
NPI 1831246172
Nurse Practitioner in Plover, WI

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
2401 PLOVER ROAD, PLOVER, WI 54481(715) 259-3800 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clare A Cullen Apnp NPPES

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

CLARE A CULLEN APNP (NPI 1831246172) is an individual nurse practitioner in Plover, Wisconsin, licensed in Wisconsin (1134) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2000).

NPPES Registry Identity

NPI1831246172
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCLARE A CULLENCredential: APNP
Location Address2401 PLOVER ROADPlover, WI 54481
Mailing Address900 Illinois AvenueStevens Point, WI 54481
Phone(715) 259-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMay 22, 2008
✔ NPI 1831246172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1134
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.
2401 PLOVER ROAD, Plover, WI 54481
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN014100238
Medicaid43882000WI

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

Clare A Cullen 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 ID8527019397
PECOS Enrollment IDI20050209000486
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.

Hospital Affiliations CMS Care Compare 3

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage 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

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54481 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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Referred Medical Equipment & Supplies CMS DME claims

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

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims360 services$0.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Clare Cullen's NPI number?

The NPI number for Clare Cullen is 1831246172. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Clare Cullen located?

Clare Cullen practices at 2401 Plover Road, Plover, WI 54481. The listed phone number is (715) 259-3800.

What is Clare Cullen's specialty?

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

Is Clare Cullen enrolled in Medicare?

Yes. Clare Cullen 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 Clare Cullen accept?

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

According to CMS data, Clare Cullen is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Clare Cullen was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.