Active NPI 1649247826 Individual Practitioner Female Practitioner

Lisa A Semmann , NP

Nurse Practitioner • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Semmann, NP is a certified Nurse Practitioner practicing in Madison, WI. With approximately 26 years of clinical experience since completing medical education in 2000, Lisa Semmann delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Lisa Semmann is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, new 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

600 Highland Ave

Madison, WI 537920001

Telephone 6082637540

Fax 6082656526

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +15.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate

32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Semmann (26 Years) 26 Yrs

Madison Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	49	$502.00	$113.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$343.00	$76.95
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$234.00	$51.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$160.00	$27.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	65	$486.30	$115.25
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	12	11	$144.00	$25.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	38	$137.00	$20.98
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$176.00	$42.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$280.00	$62.21
20550 Injection into tendon or ligament	22	14	$265.00	$27.98
20600 Aspiration and/or injection of fluid from small joint	17	12	$465.35	$38.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$96.00	$7.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	69	$133.00	$20.69
99213 Established patient office or other outpatient visit, typically 15 minutes	69	66	$171.00	$41.84
20550 Injection into tendon or ligament	49	31	$256.00	$29.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	23	$94.00	$7.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$246.00	$64.16
20600 Aspiration and/or injection of fluid from small joint	25	16	$376.20	$31.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$273.00	$61.70
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$207.00	$41.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$165.00	$41.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	37	$128.00	$20.74
20600 Aspiration and/or injection of fluid from small joint	20	15	$361.40	$33.57
20550 Injection into tendon or ligament	19	15	$273.00	$28.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$237.00	$64.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$90.00	$7.56
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$200.00	$40.10

Medical Specialties & State Licenses

CMS Verified: 2021-02-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2079

(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.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Elise Kreger

Physician Assistant

NPI 1003493164

Shannon Gedman , APNP

Nurse Practitioner

NPI 1013475656

Advanced Practice Nurse Prescriber

Scott Liegel

Physician Assistant

NPI 1023580776

Dr. Jeffrey Odonnell , MD

Orthopaedic Surgery

NPI 1073019675

Doctor of Medicine (M.D.)

Erik Bonifas , PA-C

Physician Assistant

NPI 1093779688

Physician Assistant (Certified)

Dr. Stefan Zachary , DO MS

Orthopaedic Surgery - Hand Surgery

NPI 1104881895

DOMS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2011

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082637540)

📍

Updated Business Mailing Address December 07, 2011

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated December 07, 2011

Recorded as LISA SEMMANN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2011

Nurse Practitioner (License #2079 in WI)

🟢

Initial NPI Registration & Enumeration March 07, 2006

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: 1649247826

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 07, 2006

Last Update: February 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.