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COLLEEN FRALEY APNP
NPI 1861849820
Nurse Practitioner - Family in Greendale, WI

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
81.65/100
CMS Quality Rating
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129(414) 423-4100(414) 423-4134 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colleen Fraley Apnp NPPES

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

COLLEEN FRALEY APNP (NPI 1861849820) is an individual family provider in Greendale, Wisconsin, licensed in Wisconsin (6951-33) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861849820
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN FRALEYCredential: APNP
Location Address6400 INDUSTRIAL LOOPGreendale, WI 53129-2452
Mailing Address668 Maratech Ave Ste 4Marathon, WI 54448-9008 · (888) 885-4434
Phone(414) 423-4100
Fax(414) 423-4134
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 19, 2016
✔ NPI 1861849820 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 · 6951-33
6400 INDUSTRIAL LOOP, Greendale, WI 53129
Open in Google Maps ↗

Other Names 1

Former Name (1)Colleen Herda

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Fraley 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 ID244520617
PECOS Enrollment IDI20160526001715
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Colleen Fraley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
123 mi
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1578232849 (715) 445-4801
Aspirus Eagle River Hospital & Clinics, Inc.
216 mi
Critical Access
201 HOSPITAL RD
Eagle River, WI 54521
  • Reassigned Medicare billing, Wisconsin enrollment
  • 262 clinicians in this Medicare group
NPI 1346204385 (715) 479-7411
The Howard Young Medical Center, Inc.
221 mi
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
NPI 1134183171 (715) 356-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
171 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

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

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53129 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.

81.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.32
Promoting Interoperability100
Improvement Activities40
Cost67.54

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%28 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%314 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
77%383 patients4/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
59%367 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%611 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 83% · 40 patients
Patients 4MonthsOfStart: 60% · 40 patients
54%52 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
63%88 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,658 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%3,112 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%250 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%236 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%1,502 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
53%1,501 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%1,501 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%1,501 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier36 claims36 services$16.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers45 claims45 services$92.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

CHIROPRACTIC CARE CENTER-WAUKESHA,LLC
Chiropractor
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129
Milwaukee County (414) 423-4100
OPTIONS COUNSELING SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129
Milwaukee County (414) 423-4100
KEVIN RICH CSAC-IT
Counselor (Addiction (Substance Use Disorder))
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129
Milwaukee County (414) 423-4100
TICHIGAN VOLUNTEER FIRE COMPANY, INC
Ambulance (Land Transport)
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129
Milwaukee County (414) 423-4100
TERRY LEE MCMILLAN M.D.
Emergency Medicine
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129
Milwaukee County (414) 423-4100

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 Colleen Fraley's NPI number?

The NPI number for Colleen Fraley is 1861849820. It was assigned to this individual provider in the NPPES registry on May 19, 2016. The provider is also known as Colleen Herda.

Where is Colleen Fraley located?

Colleen Fraley practices at 6400 Industrial Loop, Greendale, WI 53129. The listed phone number is (414) 423-4100.

What is Colleen Fraley's specialty?

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

Is Colleen Fraley enrolled in Medicare?

Yes. Colleen Fraley 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.

Which organizations bill Medicare for Colleen Fraley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Fraley reassigns Medicare benefits to 3 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, WI) and The Howard Young Medical Center, Inc. (Woodruff, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Fraley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Fraley accept?

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

According to CMS data, Colleen Fraley is affiliated with Aspirus Rhinelander Hospital, Howard Young Medical Center, Aspirus Eagle River Hospital and Aspirus Tomahawk Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Fraley was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.