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Active NPI 1396734034 Individual Practitioner Female Practitioner

Jill Koch Wanggaard , NP

Nurse Practitioner • Mount Pleasant, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jill Wanggaard, NP is a certified Nurse Practitioner practicing in Mount Pleasant, WI. With approximately 29 years of clinical experience since completing medical education in 1997, Jill Wanggaard delivers high-quality medical care to the local community at 8400 WASHINGTON AVE.

Jill Wanggaard is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8400 Washington Ave

Mount Pleasant, WI 534063735

Telephone 2628844088
Fax 2628844078
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1538193750

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Pleasant, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +16.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
35 Specialists

Practicing in Mount Pleasant, WI (4030 Statewide)

Telehealth Adoption Rate
22.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wanggaard (29 Years) 29 Yrs
Mount Pleasant Specialty Average (12.2 Years) 12.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes
48 47 $350.00 $69.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $510.00 $88.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $515.00 $102.30

Medical Specialties & State Licenses

CMS Verified: 2021-11-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 74115

(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 74115-030

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1396734034 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

8400 Washington Ave, Mount Pleasant, WI 534063735

Phone: 2623213000

Secondary Practice Locations

3805b Spring St

Racine, WI 534051641

Phone: 2626874479

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. James Samuel , MD

Family Medicine

NPI 1104949635

Doctor of Medicine (M.D.)

Angela Gleisner , PA-C

Physician Assistant

NPI 1154636447

Physician Assistant (Certified)

NPI 1154685089

Doctor of Medicine (M.D.)

Rochelle Hass , PA-C

Physician Assistant

NPI 1346721669

Physician Assistant (Certified)

Dr. Michael Manske , MD

Emergency Medicine

NPI 1396775466

Doctor of Medicine (M.D.)

NPI 1538793443

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Nurse Practitioner (License #74115 in WI)

📍
Updated Practice Location May 19, 2021

Registered at 8400 WASHINGTON AVE, MOUNT PLEASANT, WI 534063735 (Tel: 2628844088)

📍
Updated Business Mailing Address May 19, 2021

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2628844088)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3805B SPRING ST, RACINE, WI 534051641 (Tel: 2626874479)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3345 PATZKE LN, RACINE, WI 534051279 (Tel: 2626331064)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JILL WANGGAARD, NP

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

Nurse Practitioner (License #74115-030 in WI)

🟢
Initial NPI Registration & Enumeration October 15, 2005

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: 1396734034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2005
Last Update: November 23, 2021
Sole Proprietor: No

Mailing Address

3301 W Forest Home Ave

Milwaukee, WI 532152843

Phone: 2628844088

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.