VIDALLAH MULLEY NORDQUIST DNP
NPI 1851175699
Nurse Practitioner in Weston, WI

Q: What is Vidallah Nordquist's NPI number?

The NPI number for Vidallah Nordquist is 1851175699. It was assigned to this individual provider in the NPPES registry on August 22, 2023. The provider is also known as Vidallah Mulley Nordquist Dnp.

Q: What is Vidallah Nordquist's specialty?

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

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment

3400 MINISTRY PKWY, WESTON, WI 54476(715) 393-1220 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 6, 2023, Aug 22, 2023 (2 updates tracked since 2023).

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About Vidallah Mulley Nordquist Dnp NPPES

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

VIDALLAH MULLEY NORDQUIST DNP (NPI 1851175699) is an individual nurse practitioner in Weston, Wisconsin, licensed in Wisconsin (14480) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Weston, and maintains a secondary practice location in Edmonds.

NPPES Registry Identity

NPI1851175699

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVIDALLAH MULLEY NORDQUISTCredential: DNP

Location Address3400 MINISTRY PKWYWeston, WI 54476-5220

Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511

Phone(715) 393-1220

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2023

Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2024

✔ NPI 1851175699 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

Licenses✔ Licensed in WI · 14480✔ Licensed in WI · 230193-30

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 230193 (WI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 14480-33 (WI), 230193-30 (WI)

3400 MINISTRY PKWY, Weston, WI 54476

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Other Names 1

Professional Name (2)Vidallah Mulley Nordquist Dnp

Secondary Practice Location 1

Location 14902 148th St SWEdmonds, WA 98026-4018 · Phone (415) 223-9964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan.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

Vidallah Mulley Nordquist Dnp 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 ID6901258631

PECOS Enrollment IDI20240118002561

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

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

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520202

Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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.

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.

DR. KSHAMATA SHALINI MD

Internal Medicine