Andrea J Hilgenberg, NP - Medicare Nurse Practitioner in Appleton, WI

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Andrea J Hilgenberg, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Appleton, Wisconsin. Her current practice location is 2575 E Evergreen Drive, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 969-5353.

Andrea J Hilgenberg is licensed to practice in Wisconsin (license number 3370-033) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255501987.

Contact Information

Andrea J Hilgenberg, NP
2575 E Evergreen Drive,
Appleton, WI 54913-2883
(920) 969-5353
(414) 337-7201

Map and Direction




Provider's Profile

Full NameAndrea J Hilgenberg
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2575 E Evergreen Drive, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255501987
  • Provider Enumeration Date: 03/10/2008
  • Last Update Date: 05/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416033568
  • Enrollment ID: I20080328000724

Medical Identifiers

Medical identifiers for Andrea J Hilgenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255501987NPI-NPPES
1255501987MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 3370-033 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea J Hilgenberg allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameChildrens Specialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942970405
PECOS PAC ID: 2567813447
Enrollment ID: O20240104002075

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea J Hilgenberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea J Hilgenberg, NP
2575 E Evergreen Drive,
Appleton, WI 54913-2883

Ph: (920) 969-5353		Andrea J Hilgenberg, NP
2575 E Evergreen Drive,
Appleton, WI 54913-2883

Ph: (920) 969-5353

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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