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JOHN P. MODRZYNSKI M.D.
NPI 1962475434
Family Medicine in Wautoma, WI

Active since February 07, 2006PECOS Enrolled
N2934 STATE ROAD 22, WAUTOMA, WI 54982(920) 787-4613(920) 787-5433 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 26, 2017 (2 updates tracked since 2017).

About John P. Modrzynski M.d. NPPES

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

JOHN P. MODRZYNSKI M.D. (NPI 1962475434) is an individual family medicine provider in Wautoma, Wisconsin, licensed in Wisconsin (23162) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wautoma.

NPPES Registry Identity

NPI1962475434
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN P. MODRZYNSKICredential: M.D.
Location AddressN2934 STATE ROAD 22Wautoma, WI 54982-5267
Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 787-4613 · Fax (920) 787-5433
Phone(920) 787-4613
Fax(920) 787-5433
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1962475434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 23162
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
N2934 STATE ROAD 22, Wautoma, WI 54982
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Secondary Practice Location 1

Location 1N2034 Highway 22Wautoma, WI 54982 · Phone (920) 787-4613 · Fax (920) 787-5433

Other Identifiers 1

Medicaid32833700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John P. Modrzynski M.d. 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 54982 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 5

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

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 429-4726
MR. ERIC FOSS RPH
Pharmacist
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5757
ERIKA NIZNIK PHARMD
Pharmacist
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5757
MRS. LAURA L BAEHNMAN APNP
Nurse Practitioner (Family)
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-4613
COMMUNITY HEALTH NETWORK
Family Medicine
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-4613

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 John Modrzynski's NPI number?

The NPI number for John Modrzynski is 1962475434. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is John Modrzynski located?

John Modrzynski practices at N2934 State Road 22, Wautoma, WI 54982. The listed phone number is (920) 787-4613.

What is John Modrzynski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Modrzynski enrolled in Medicare?

Yes. John Modrzynski is registered in the Medicare PECOS enrollment system.

What insurance does John Modrzynski accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list John Modrzynski 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.

When was this NPI record last updated?

The NPPES record for John Modrzynski was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.