1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Nurse Practitioner
  6. NPI Profile

KATIE JEAN DES JARDINS
NPI 1982075701
Nurse Practitioner in Appleton, WI

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
1301 E NORTHLAND AVE STE B, APPLETON, WI 54911(920) 731-1999(920) 731-3729 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Jean Des Jardins NPPES

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

KATIE JEAN DES JARDINS (NPI 1982075701) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (14228-33) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1982075701
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATIE JEAN DES JARDINS
Location Address1301 E NORTHLAND AVE STE BAppleton, WI 54911-8582
Mailing Address1301 E Northland Ave Ste BAppleton, WI 54911-8582 · (920) 731-1999 · Fax (920) 731-3729
Phone(920) 731-1999
Fax(920) 731-3729
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 20, 2015
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1982075701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 14228-33
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 247937-30 (WI)
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 1922-39 (WI)
1301 E NORTHLAND AVE STE B, Appleton, WI 54911
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 E Northland Ave Ste BAppleton, WI 54911-8582 · Phone (920) 731-1999 · Fax (920) 731-3729

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Jean Des Jardins 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 ID6002344769
PECOS Enrollment IDI20250108002023
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.

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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.

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 Katie Des Jardins's NPI number?

The NPI number for Katie Des Jardins is 1982075701. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Katie Des Jardins located?

Katie Des Jardins practices at 1301 E Northland Ave Ste B, Appleton, WI 54911. The listed phone number is (920) 731-1999.

What is Katie Des Jardins's specialty?

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

Is Katie Des Jardins enrolled in Medicare?

Yes. Katie Des Jardins 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 Katie Des Jardins 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 Katie Des Jardins 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 Katie Des Jardins affiliated with any hospitals?

According to CMS data, Katie Des Jardins is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Katie Des Jardins was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.