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SUZETTE M BORNEMANN APNP
NPI 1851630834
Nurse Practitioner - Family in Crivitz, WI

Active since February 11, 2013PECOS Enrolled
218 S HWY 141, CRIVITZ, WI 54114(715) 854-7477(715) 854-7785 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Jun 3, 2020 (2 updates tracked since 2020).

About Suzette M Bornemann Apnp NPPES

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

SUZETTE M BORNEMANN APNP (NPI 1851630834) is an individual family provider in Crivitz, Wisconsin, licensed in Wisconsin (5219-33) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1851630834
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZETTE M BORNEMANNCredential: APNP
Location Address218 S HWY 141Crivitz, WI 54114-1677
Mailing AddressPo Box 1866Green Bay, WI 54305-1866 · (920) 445-7210
Phone(715) 854-7477
Fax(715) 854-7785
Sole ProprietorNo
Enumeration DateFebruary 11, 2013
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1851630834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 5219-33
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 5219-33 (WI)
218 S HWY 141, Crivitz, WI 54114
Open in Google Maps ↗

Other Names 1

Former Name (1)Suzette M Kittelson

Secondary Practice Locations 8

Location 13021 Voyager DrGreen Bay, WI 54311-8303 · Phone (920) 496-1700 · Fax (920) 496-4705
Location 22820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388
Location 3307 Manor DrSuring, WI 54174-9182 · Phone (920) 842-2144 · Fax (920) 842-4111
Location 4441 French StPeshtigo, WI 54157-1203 · Phone (715) 582-9949 · Fax (715) 582-4464
Location 515481 Commercial Rd Ste ELakewood, WI 54138-9677 · Phone (715) 276-9048 · Fax (715) 276-2849
Location 6401 W Mill StBonduel, WI 54107-9246 · Phone (715) 758-2167 · Fax (715) 758-6701
Location 7723 S Wisconsin StPulaski, WI 54162-9303 · Phone (820) 822-1100 · Fax (920) 822-5731
Location 8405 Commercial StSeymour, WI 54165-8474 · Phone (920) 833-2318 · Fax (920) 833-6883

Other Identifiers 1

Other2012012365American Nurses Credentialing Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzette M Bornemann Apnp 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 54114 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 7

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

NORTHREACH HEALTHCARE, LLC
Family Medicine
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7477
NATHAN M TANNEY P.T.
Physical Therapist
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7761
PAWNEET P SINGH MD
Family Medicine
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7477
OCONTO HOSPITAL & MEDICAL CENTER, INC.
Clinic/Center (Rural Health)
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7477
KEVIN P WATTS D-PT
Physical Therapist
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7761
MISS TAYLOR ALEXIS LONDO DPT
Physical Therapist
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7761
SETH DANIEL MAJERUS DPT
Physical Therapist
218 S HWY 141
CRIVITZ, WI 54114
Marinette County (715) 854-7477

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 Suzette Bornemann's NPI number?

The NPI number for Suzette Bornemann is 1851630834. It was assigned to this individual provider in the NPPES registry on February 11, 2013. The provider is also known as Suzette M Kittelson.

Where is Suzette Bornemann located?

Suzette Bornemann practices at 218 S Hwy 141, Crivitz, WI 54114. The listed phone number is (715) 854-7477.

What is Suzette Bornemann's specialty?

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

Is Suzette Bornemann enrolled in Medicare?

Yes. Suzette Bornemann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suzette Bornemann was last updated on December 7, 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.