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CINDY KOPLITZ
NPI 1982026043
Nurse Practitioner in Milwaukee, WI

Active since January 09, 2014PECOS EnrolledAccepts Medicare Assignment
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208(414) 291-2626 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Sep 9, 2024 (2 updates tracked since 2024).

About Cindy Koplitz NPPES

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

CINDY KOPLITZ (NPI 1982026043) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (5635-33) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1982026043
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCINDY KOPLITZ
Location Address3727 W WISCONSIN AVEMilwaukee, WI 53208-3182
Mailing Address1515 S 57th StWest Allis, WI 53214-5104
Phone(414) 291-2626
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 9, 2014
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1982026043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 5635-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3727 W WISCONSIN AVE, Milwaukee, WI 53208
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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, Network Health.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

Cindy Koplitz 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 ID3779713920
PECOS Enrollment IDI20140307001576
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services44 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
39 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53208 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.22 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 20

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

ALEX AMANDA FOLEY CNM
Midwife
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
KELLEY ANN BELTRAN FNP
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
THERAPY WIZARDS CORP
Physical Therapist
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 810-7246
MRS. PRIYANKA KANCHERLA RPH
Pharmacist
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 931-0000
MRS. NATALIE R KERBER FNP-C
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
DR. GORDON SETO D.C.
Chiropractor
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (626) 872-4673
PROCARE URGENT CARE LLC
Clinic/Center (Urgent Care)
3727 W WISCONSIN AVE, SUITE 2
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
MARY JANE DE JESUS
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626

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 Cindy Koplitz's NPI number?

The NPI number for Cindy Koplitz is 1982026043. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Cindy Koplitz located?

Cindy Koplitz practices at 3727 W Wisconsin Ave, Milwaukee, WI 53208. The listed phone number is (414) 291-2626.

What is Cindy Koplitz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cindy Koplitz enrolled in Medicare?

Yes. Cindy Koplitz 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 Cindy Koplitz accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Cindy Koplitz 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 Cindy Koplitz was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.