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IRENE NICOLE PRESNELL NP
NPI 1871915298
Nurse Practitioner - Family in Ladysmith, WI

Active since January 21, 2014PECOS EnrolledAccepts Medicare Assignment
92.98/100
CMS Quality Rating
1200 PORT ARTHUR RD, LADYSMITH, WI 54848(715) 532-5561 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irene Nicole Presnell Np NPPES

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

IRENE NICOLE PRESNELL NP (NPI 1871915298) is an individual family provider in Ladysmith, Wisconsin, licensed in Wisconsin (10399) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871915298
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIRENE NICOLE PRESNELLCredential: NP
Location Address1200 PORT ARTHUR RDLadysmith, WI 54848-1137
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 532-5561
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 21, 2014
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1871915298 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
Licenses✔ Licensed in WI · 10399✔ Licensed in TN · 18382✔ Licensed in IN · 71005541A
Also ListedRegistered NurseTaxonomy 163W00000X · License 0000174450 (TN)
1200 PORT ARTHUR RD, Ladysmith, WI 54848
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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

Irene Nicole Presnell Np 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 ID5193955151
PECOS Enrollment IDI20231111000598
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.

Areas of Expertise CMS Part B claims 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services29 patients
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.
53 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 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.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54848 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.

92.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.82
Promoting Interoperability100
Improvement Activities40

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.

JESSICA LYNN TAKACH APNP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
DANIELLE RANEE SOLTIS APNP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 609-3372
MCHS HOSPITALS INC
Clinic/Center (Rural Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
BRITA LYNN BUSH FNP-C
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
ANDREY MIRONENKO MD
Emergency Medicine
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
AMBER RENE HALL NP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2358
CHERYL R. PETRUS OTR
Occupational Therapist
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-0987
ERNEST L HALL NP
Nurse Practitioner (Psychiatric/Mental Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-5561

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 Irene Presnell's NPI number?

The NPI number for Irene Presnell is 1871915298. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Irene Presnell located?

Irene Presnell practices at 1200 Port Arthur Rd, Ladysmith, WI 54848. The listed phone number is (715) 532-5561.

What is Irene Presnell's specialty?

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

Is Irene Presnell enrolled in Medicare?

Yes. Irene Presnell 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 Irene Presnell accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Sanford Health Plan list Irene Presnell 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 Irene Presnell affiliated with any hospitals?

According to CMS data, Irene Presnell is affiliated with St Nicholas Hospital and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Irene Presnell was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.