Mrs Kim Marie Willison, APNP - Medicare Nurse Practitioner in Appleton, WI

Mrs Kim Marie Willison, APNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Appleton, Wisconsin. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oca, Sc and her current practice location is 2105 E Enterprise Ave, Ste 111, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-6611.

Mrs Kim Marie Willison is licensed to practice in Wisconsin (license number 2608) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225080955.

Contact Information

Mrs Kim Marie Willison, APNP
2105 E Enterprise Ave, Ste 111,
Appleton, WI 54913
(920) 731-6611
(920) 731-6732

Map and Direction




Provider's Profile

Full NameMrs Kim Marie Willison
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location2105 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kim Marie Willison graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1225080955
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3476585225
  • Enrollment ID: I20050901000372

Medical Identifiers

Medical identifiers for Mrs Kim Marie Willison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225080955NPI-NPPES
41265800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 2608 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oca, Sc862808933119

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. Mrs Kim Marie Willison allows following entities to bill medicare on her behalf.
Entity NameOca, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003836867
PECOS PAC ID: 8628089331
Enrollment ID: O20060509000877

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. Mrs Kim Marie Willison 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
Mrs Kim Marie Willison, APNP
2105 E Enterprise Ave, Ste 111,
Appleton, WI 54913

Ph: (920) 731-6611
Mrs Kim Marie Willison, APNP
2105 E Enterprise Ave, Ste 111,
Appleton, WI 54913

Ph: (920) 731-6611

Reviews and Comments


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    
Dessia J Laxton-reinke, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Lisa Valiquette, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Trisha Loehrke, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915
Phone: 920-225-7875    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.