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Active NPI 1508379405 Individual Practitioner Female Practitioner

Denise C Klubertanz-Berge , NP

Nurse Practitioner • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Denise Klubertanz-Berge, NP is a registered healthcare professional specializing in Nurse Practitioner in Appleton, WI. Practice services are available at 3925 N GATEWAY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3925 N Gateway Dr

Appleton, WI 549137863

Telephone 9207797953
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 14 $490.00 $104.02

Medical Specialties & State Licenses

CMS Verified: 2024-06-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8454

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 8454

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100078250 (WI)

Secondary Practice Locations

1881 Chicago St

De Pere, WI 54115

Phone: 9204038000

2500 E Capitol Dr

Appleton, WI 549118735

Phone: 9207797953

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Katie Uhlenbrauck

Health & Wellness Coach

NPI 1275485161

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location June 18, 2024

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9207797953)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Nurse Practitioner (License #8454 in WI)

📍
Updated Practice Location July 06, 2023

Registered at 2500 E CAPITOL DR, APPLETON, WI 549118735 (Tel: 9207797953)

📍
Updated Business Mailing Address July 06, 2023

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9207797953)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Nurse Practitioner (License #8454 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Nurse Practitioner (License #8454-33 in WI)

📍
Updated Practice Location June 05, 2018

Registered at 1881 CHICAGO ST, DE PERE, WI 54115 (Tel: 9204038000)

📍
Updated Business Mailing Address June 05, 2018

Registered at 1881 CHICAGO ST, DE PERE, WI 541153770 (Tel: 9204038000)

👤
Provider Name / Credentials Updated June 05, 2018

Recorded as DENISE KLUBERTANZ-BERGE, NP

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2017

Registered at 2005 MIDWAY RD, MENASHA, WI 549527002 (Tel: 9208328500)

📍
Updated Business Mailing Address November 14, 2017

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: 9209963264)

👤
Provider Name / Credentials Updated November 14, 2017

Recorded as DENISE BERGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Registered Nurse (License #176921 in WI)

🟢
Initial NPI Registration & Enumeration November 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508379405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2017
Last Update: June 18, 2024
Sole Proprietor: No

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9207797953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.