DR. DANIELLE M MCCLONE DNP
NPI 1831829035
Nurse Practitioner - Pediatrics in Milwaukee, WI

Active since June 13, 2022PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-6800(414) 337-7068 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Danielle M Mcclone Dnp NPPES

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

DR. DANIELLE M MCCLONE DNP (NPI 1831829035) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (13100) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831829035
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. DANIELLE M MCCLONECredential: DNP
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-6800 · Fax (414) 337-7068
Fax(414) 337-7068
Sole ProprietorNo
Enumeration DateJune 13, 2022
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
NPI 1831829035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WI · 13100
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Names 1

Former Name (1)Danielle Fotsch

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Danielle M Mcclone Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Danielle Mcclone's NPI number?

The NPI number for Danielle Mcclone is 1831829035. It was assigned to this individual provider in the NPPES registry on June 13, 2022. The provider is also known as Danielle Fotsch.

Where is Danielle Mcclone located?

Danielle Mcclone practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-6800.

What is Danielle Mcclone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Danielle Mcclone enrolled in Medicare?

Yes. Danielle Mcclone is registered in the Medicare PECOS enrollment system.

What insurance does Danielle Mcclone accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Danielle Mcclone 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.

When was this NPI record last updated?

The NPPES record for Danielle Mcclone was last updated on August 31, 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.