Sally Andersen, FNP-BC, APNP - Medicare Nurse Practitioner in Greenville, WI

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Sally Andersen, FNP-BC, APNP is a medicare enrolled "Nurse Practitioner - Family" in Greenville, Wisconsin. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ascension Medical Group-fox Valley Wisconsin, Inc and her current practice location is W6981 Parkview Dr, Greenville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 882-2400.

Sally Andersen is licensed to practice in Wisconsin (license number 5543-33) 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 1366871634.

Contact Information

Sally Andersen, FNP-BC, APNP
W6981 Parkview Dr,
Greenville, WI 54942-8034
(920) 882-2400
Not Available

Map and Direction




Provider's Profile

Full NameSally Andersen
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
LocationW6981 Parkview Dr, Greenville, 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:
  • Sally Andersen graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1366871634
  • Provider Enumeration Date: 11/06/2013
  • Last Update Date: 04/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658685656
  • Enrollment ID: I20150804006264

Medical Identifiers

Medical identifiers for Sally Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366871634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5543-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin, Inc0244142420260

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. Sally Andersen allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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. Sally Andersen 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
Sally Andersen, FNP-BC, APNP
W5505 Mile Long Dr,
Appleton, WI 54915-5220

Ph: (920) 851-6114		Sally Andersen, FNP-BC, APNP
W6981 Parkview Dr,
Greenville, WI 54942-8034

Ph: (920) 882-2400

Reviews and Comments


Nurse Practitioner Nurses in Greenville, WI

Tracy Rank, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W6981 Parkview Dr, Greenville, WI 54942
Phone: 920-882-2400    
Tierney Fritz, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W6981 Parkview Dr, Greenville, WI 54942
Phone: 920-882-2400    

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.