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Active NPI 1679782700 Individual Practitioner Female Practitioner

Mellissa C Willming , NURSE PRACTITIONER

Nurse Practitioner • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Mellissa Willming, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Appleton, WI. Practice services are available at 320 S WALNUT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 S Walnut St

Appleton, WI 549115918

Telephone 9208435973
Fax 4146223869
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
76.5% 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 (2018)
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
32 32 $374.00 $88.01

Medical Specialties & State Licenses

CMS Verified: 2023-10-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 7680

(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 7680-33

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100067789 (WI)

Practice Associates & Co-Workers

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

31 Associated Practitioners
Jody Berry , LPC

Counselor - Professional

NPI 1033730023

Licensed Professional Counselor

Ashley Hartmann

Social Worker - Clinical

NPI 1033885405
Katherine Chaganos , LCSW

Social Worker - Clinical

NPI 1043853427

Licensed Clinical Social Worker

Inez Rodriguez

Counselor - Professional

NPI 1164220422
Rochelle Kottke , LCSW

Social Worker - Clinical

NPI 1174152318

Licensed Clinical Social Worker

NPI 1194576587

Career & Practice History Timeline

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

21 Historical Events
📍
Updated Practice Location September 20, 2023

Registered at 320 S WALNUT ST, APPLETON, WI 549115918 (Tel: 9208435973)

📍
Updated Business Mailing Address September 20, 2023

Registered at 320 S WALNUT ST, APPLETON, WI 549115918 (Tel: 9208435873)

👤
Provider Name / Credentials Updated September 20, 2023

Recorded as MELLISSA WILLMING, NURSE PRACTITIONER

👤
Provider Name / Credentials Updated May 18, 2021

Recorded as MELLISSA YINDRA, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Nurse Practitioner (License #7680-33 in WI)

📍
Updated Practice Location November 27, 2019

Registered at 3509 DEWEY ST, MANITOWOC, WI 542205813 (Tel: 9206865732)

📍
Updated Business Mailing Address November 27, 2019

Registered at 3509 DEWEY ST, MANITOWOC, WI 542205813 (Tel: 9206865732)

📍
Updated Practice Location April 27, 2018

Registered at 2219 GARFIELD ST, TWO RIVERS, WI 542412416 (Tel: 9207932281)

👤
Provider Name / Credentials Updated April 27, 2018

Recorded as MELLISSA LOOSE, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Nurse Practitioner (License #7680 in WI)

NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address May 18, 2017

Registered at N5629 W RIVER RD, HILBERT, WI 541299424 (Tel: 9206290744)

📍
Updated Practice Location May 18, 2017

Registered at 710 N PACKER DR, WHITELAW, WI 542479717 (Tel: 9206841770)

👤
Provider Name / Credentials Updated May 18, 2017

Recorded as MELLISSA YINDRA, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Nurse Practitioner (License #7680-33 in WI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 710 N PACKER DR, WHITELAW, WI 542479717 (Tel: 9206841770)

📍
Updated Business Mailing Address July 08, 2007

Registered at 710 N PACKER DR, WHITELAW, WI 542479717 (Tel: 9206841770)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MELLISSA YINDRA, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Registered Nurse

🟢
Initial NPI Registration & Enumeration May 22, 2007

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: 1679782700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: October 09, 2023
Sole Proprietor: No

Mailing Address

320 S Walnut St

Appleton, WI 549115918

Phone: 9208435873

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.