DR. IRYNA NEMESH M.D.
NPI 1942694401
Internal Medicine - Rheumatology in Waterford, WI
About Dr. Iryna Nemesh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IRYNA NEMESH M.D. (NPI 1942694401) is an individual rheumatology provider in Waterford, Wisconsin, licensed in Wisconsin (66517-20) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. Iryna Nemesh M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Iryna Nemesh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Memorial Hospital Burlington
Acute Care Hospitals · Burlington, WIAurora Lakeland Medical Center
Acute Care Hospitals · Elkhorn, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53185 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERFORD, WI 53185
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 Iryna Nemesh's NPI number?
The NPI number for Iryna Nemesh is 1942694401. It was assigned to this individual provider in the NPPES registry on March 23, 2015.
Where is Iryna Nemesh located?
Iryna Nemesh practices at 818 Forest Ln, Waterford, WI 53185. The listed phone number is (262) 514-3700.
What is Iryna Nemesh's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Iryna Nemesh enrolled in Medicare?
Yes. Iryna Nemesh 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 Iryna Nemesh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Iryna Nemesh reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, 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 Iryna Nemesh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Iryna Nemesh accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Iryna Nemesh 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 Iryna Nemesh affiliated with any hospitals?
According to CMS data, Iryna Nemesh is affiliated with Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center and Aurora St Lukes Medical Center.
When was this NPI record last updated?
The NPPES record for Iryna Nemesh was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Iryna Nemesh, M.D. · NPI 1942694401
Rheumatology physician in Waterford, Wisconsin. Individual provider, active in the CMS NPPES registry since March 23, 2015.
## Identity
- **NPI:** 1942694401 (Entity type: Individual)
- **Enumerated:** March 23, 2015
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 66517-20 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 818 FOREST LN, Waterford, WI 53185-4585
- **Phone:** (262) 514-3700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 24, 2024
- **Other identifiers:** Medicaid 100077589 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1942694401) · Data from the CMS NPPES public registry.