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BROOKE E ZELHOFER NP
NPI 1972086023
Nurse Practitioner - Pediatrics in Appleton, WI

Active since September 13, 2018PECOS Enrolled
2575 E EVERGREEN DR, APPLETON, WI 54913(920) 969-5353(414) 337-7201 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2023, Sep 13, 2018 (2 updates tracked since 2018).

About Brooke E Zelhofer Np NPPES

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

BROOKE E ZELHOFER NP (NPI 1972086023) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (8672-33) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Neenah.

NPPES Registry Identity

NPI1972086023
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameBROOKE E ZELHOFERCredential: NP
Location Address2575 E EVERGREEN DRAppleton, WI 54913-8910
Mailing Address2575 E Evergreen DrAppleton, WI 54913-8910 · (920) 969-5353 · Fax (414) 337-7201
Phone(920) 969-5353
Fax(414) 337-7201
Sole ProprietorNo
Enumeration DateSeptember 13, 2018
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1972086023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 8672-33
2575 E EVERGREEN DR, Appleton, WI 54913
Open in Google Maps ↗

Other Names 1

Former Name (1)Brooke Domer

Secondary Practice Location 1

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 969-7900 · Fax (920) 969-7979

Other Identifiers 1

Medicaid1972086023WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (PECOS)

Brooke E Zelhofer Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brooke Zelhofer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.
89 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Children's Specialty Group, Inc.
89 mi
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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 20

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

KALYN MAHONEY CPNP-AC
Nurse Practitioner
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBYN W LAURITSEN APNP
Nurse Practitioner (Family)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 404-2240
DR. DOUGLAS RANDAL ZABROWSKI M.D.
Pediatrics (Pediatric Gastroenterology)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
JENNIFER A BLEVINS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
KENDALL LUCKEROTH OTR/L
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
EMILY TYMOS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
BRADLEY BALINT MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBERT BECKER MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353

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 Brooke Zelhofer's NPI number?

The NPI number for Brooke Zelhofer is 1972086023. It was assigned to this individual provider in the NPPES registry on September 13, 2018. The provider is also known as Brooke Domer.

Where is Brooke Zelhofer located?

Brooke Zelhofer practices at 2575 E Evergreen Dr, Appleton, WI 54913. The listed phone number is (920) 969-5353.

What is Brooke Zelhofer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Brooke Zelhofer enrolled in Medicare?

Yes. Brooke Zelhofer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brooke Zelhofer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Zelhofer reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Children's Specialty Group, 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 Brooke Zelhofer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Zelhofer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Brooke Zelhofer 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 Brooke Zelhofer was last updated on October 31, 2023. 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.