Connie Lee Worm, - Nurse Practitioner in Sheboygan, WI

Connie Lee Worm, is a Nurse Practitioner based in Sheboygan, Wisconsin. Connie Lee Worm is licensed to practice in Wisconsin (license number 86329-030) and her current practice location is 2108 Kohler Memorial Dr, Sheboygan, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 458-9401.

NPI number for Connie Lee Worm is 1104044395 and her current mailing address is 3532 N 21st St, Sheboygan, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104044395.

Contact Information

Connie Lee Worm,
2108 Kohler Memorial Dr,
Sheboygan, WI 53081-3100
(920) 458-9401
(920) 458-8801

Map and Direction




Provider's Profile

Full NameConnie Lee Worm
GenderFemale
SpecialityNurse Practitioner
Location2108 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104044395
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Connie Lee Worm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104044395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 86329-030 (Wisconsin)Primary

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. Connie Lee Worm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connie Lee Worm,
3532 N 21st St,
Sheboygan, WI 53083-2807

Ph: (920) 458-6556
Connie Lee Worm,
2108 Kohler Memorial Dr,
Sheboygan, WI 53081-3100

Ph: (920) 458-9401

Reviews and Comments


Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Mrs. Doris U Theune, MS RN CS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-453-5414    Fax: 920-803-2990
Dr. Amanda Beinemann, AGPCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-459-8300    
Mary Lou Roethel, MSN,NP-C,APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081
Phone: 920-496-4700    
Jennifer L Thickens, APNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    
Christopher Klika, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081
Phone: 920-457-4858    

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.