DR. PAOLA A PALMA SISTO MD
NPI 1982658936
Pediatrics - Pediatric Endocrinology in Appleton, WI

Active since May 22, 2006PECOS Enrolled
2575 E EVERGREEN DRIVE, APPLETON, WI 54913(920) 969-5353(414) 337-7201 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2023, Jun 14, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Dr. Paola A Palma Sisto Md NPPES

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

DR. PAOLA A PALMA SISTO MD (NPI 1982658936) is an individual pediatric endocrinology provider in Appleton, Wisconsin, licensed in Wisconsin (42192) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982658936
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. PAOLA A PALMA SISTOCredential: MD
Location Address2575 E EVERGREEN DRIVEAppleton, WI 54913-8904
Mailing Address2575 E Evergreen DriveAppleton, WI 54913-8904 · (920) 969-5353 · Fax (414) 337-7201
Fax(414) 337-7201
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1982658936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in WI · 42192
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
2575 E EVERGREEN DRIVE, Appleton, WI 54913

Secondary Practice Locations 2

Location 1555 Redbird CirDE Pere, WI 54115-7977 · Phone (920) 969-5353 · Fax (414) 337-7201
Location 29000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2860 · Fax (414) 266-6749

Other Identifiers 2

Other002006261KHumana
Medicaid1982658936WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paola A Palma Sisto Md 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 Paola Palma Sisto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
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

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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 9

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

Pediatrics (Neonatal-Perinatal Medicine)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Nurse Practitioner (Pediatrics)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Nurse Practitioner (Pediatrics)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Nurse Practitioner
2575 E EVERGREEN DRIVE, PEDIATRIC UROLOGY
APPLETON, WI 54913
Internal Medicine (Pulmonary Disease)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Optometrist
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Nurse Practitioner
2575 E EVERGREEN DRIVE
APPLETON, WI 54913
Nurse Practitioner (Pediatrics)
2575 E EVERGREEN DRIVE
APPLETON, WI 54913

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 Paola Palma Sisto's NPI number?

The NPI number for Paola Palma Sisto is 1982658936. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Paola Palma Sisto located?

Paola Palma Sisto practices at 2575 E Evergreen Drive, Appleton, WI 54913. The listed phone number is (920) 969-5353.

What is Paola Palma Sisto's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Paola Palma Sisto enrolled in Medicare?

Yes. Paola Palma Sisto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paola Palma Sisto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paola Palma Sisto 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 Paola Palma Sisto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paola Palma Sisto accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Paola Palma Sisto 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 Paola Palma Sisto was last updated on July 13, 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.